Hip Reconstruction

Hip Reconstruction in Children

Hip replacement surgery is most commonly thought of as a procedure for elderly adults. Many older adults otherwise normally functioning hips become “worn out” over time and need to be replaced. Hip arthritis as an adult can have its origin in a pediatric condition known as "hip dysplasia". Hip dysplasia is the medical term for a malformation of the hip joint. The earlier this condition is discovered the easier and more effective the treatment if discovered before arthritis develops. These conditions benefit from hip reconstruction procedures performed by a Pediatric Orthopedic Surgeon, so that hip replacement can be delayed or alleviated. Other disease states or conditions that cause hip dysplasia in children are:

  • Legg-Calve-Perthes Disease (LCD) - a condition where there is insufficient blood flow to the hip joint causing deterioration from Avascular Necrosis
  • Avascular necrosis – a condition where there is death of the bone cells in the hip joint – post traumatic or idiopathic (LCP)
  • Posttraumatic hip disorders – damage to the hip joint as the result of injury or fracture.

Children less than one year of age with hip dysplasia may sometimes have the condition corrected through the use of "reduction" -a technique of splinting and bracing that results in repositioning of the hip. However in children older than two, most of these hip conditions are treated with hip reconstruction surgery performed by pediatric orthopedic surgeons.

The hip joint is basically made up of two parts the femoral head, the “ball” at the top of the thighbone, and the acetabulum, the "socket" it fits into. Whatever the cause, hip reconstruction surgery in children involves the surgical correction of abnormalities in the upper femur to allow the femoral head to be properly relocated in the acetabulum and deeply seated.

Pediatric hip reconstructive surgery is a major procedure. It can cause much anxiety for children and their parents. Pediatric Orthopedic surgeons who perform the procedures such as those at Children's Bone & Spine Surgery, indicate that just as important as the surgery itself is preparing the child and his or her parents for the procedure both pre and post-operatively. Parent’s greatest concerns are with post-operative pain. Pediatric Orthopedic Surgeons recognize that parents worry about how their child will cope with post-operative pain. The team approach used by pediatric orthopedic surgeons include pediatricians, pediatric neurologists, and pediatric physiotherapists, all specially trained in making your child’s recovery as pain-free and quick as possible.


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