DDH at 20 months of age - Managed Surgically

This girl child was brought by parents to Dr Somesh Virmani when the child was 20 months old. The complaint  was significant limp while walking and easy tiredness. On examination and xrays, the diagnosis of right DDH was made.

Since she was already 20 months old, there was no scope of cconservative treatment. Moreover, closed reduction and spica application was done already in her hometown.

She underwent open reduction of right hip + femoral osteotomy and fixation + acetabulum osteotomy and spica application.

Hip was well reduced and in this follow up X-ray, the hip is well at its natural place and the cup of hip joint (acetabulum) has also developed very well. She is able to walk, run and play well; without any limp.