Congenital Hip Dislocation (DDH)
Steps Involved in IVF:
Procedure Description:
The treatment of congenital hip dislocation varies by the age of the patient and the severity of the condition. In infants, the goal is to guide the femoral head back into the acetabulum to promote proper hip development. For this reason, most cases of DDH are diagnosed and treated within the first few months of life, though some cases may require intervention later on.
Non-Surgical Treatments:
For newborns and infants under six months old, non-surgical treatments are often the first line of defense. The most common treatment is the use of a Pavlik harness, a soft brace that holds the baby’s legs in a flexed, abducted position. This position allows the femoral head to slip back into the acetabulum naturally. The harness is typically worn full-time for six to twelve weeks, after which the infant may transition to part-time use as the hip continues to develop. In some cases, a spica cast, which is a rigid cast that immobilizes the hips and legs, may be used to stabilize the hip joint following a reduction procedure.
Surgical Interventions:
For children older than six months, or when non-surgical treatments fail, surgery may be required to correct the dislocation. One common surgical procedure is a closed reduction, where the femoral head is manually repositioned into the hip socket without making an incision. In cases where closed reduction is not possible, an open reduction may be performed. Open reduction involves making an incision to access the hip joint, allowing the surgeon to physically place the femoral head into the acetabulum. This procedure may be followed by osteotomies, where the surgeon reshapes or repositions the bones to provide better stability.
Post-Operative Care:
After surgery, a spica cast is often applied to keep the hip in the correct position as it heals. The cast may need to be worn for several months, depending on the complexity of the surgery. Regular follow-up visits, X-rays, and other imaging techniques are used to monitor the progress of the hip's development. Physical therapy may also be required to help children regain mobility and strengthen the muscles around the hip joint.
Procedure Duration:
The length and phases of DDH treatment depend on the method used, the age of the child, and the complexity of the dislocation. Generally, the duration includes an initial phase of diagnosis and planning, followed by treatment implementation, and then a recovery period.
Non-Surgical Treatment Duration:
For infants diagnosed early, the Pavlik harness is typically worn for six to twelve weeks. During this period, the baby's progress is closely monitored through regular check-ups and imaging to ensure the hip is stabilizing. Once the hip joint is in the proper position, the harness may be worn part-time for another few weeks or months to allow the hip to solidify.
Surgical Treatment Duration:
Surgical procedures, such as a closed or open reduction, are more time-intensive. The actual surgery lasts around two to three hours, depending on the complexity. After surgery, a spica cast may be applied, and it can remain in place for six weeks to several months, depending on the individual case. Multiple follow-up appointments are necessary to track the hip's development post-surgery, and these check-ups may continue for several years to ensure long-term success.
Recovery Period:
Recovery from DDH treatment varies significantly. For non-surgical cases, the hip may stabilize after a few months, but ongoing monitoring is essential to ensure proper development. For surgical cases, the full recovery period can range from several months to a year. Physical therapy often plays a crucial role in helping the child regain full mobility and strength, especially in cases where the child was in a spica cast for an extended period.
Benefits:
- Restores Normal Hip Function: Correcting DDH helps restore the proper alignment of the hip joint, enabling normal development.
- Prevents Long-Term Complications: Early treatment can prevent issues like arthritis, hip pain, and mobility limitations later in life.
- Minimally Invasive Options Available: For young infants, non-surgical methods like the Pavlik harness can resolve the issue without surgery.
- Improved Mobility: Successful treatment leads to improved mobility, allowing children to walk and move without discomfort or limitations.
- Better Quality of Life: Correcting the dislocation early in life ensures better quality of life by preventing future joint and mobility problems.
Potential Destinations:
- Germany:
Germany is known for its advanced orthopedic care and highly specialized pediatric surgical teams. The country's hospitals often feature cutting-edge technology, making it an attractive destination for complex surgical treatments of DDH.
- United States:
The U.S. is home to some of the world’s leading children’s hospitals, offering comprehensive diagnostic and treatment services for congenital hip dislocation. Many facilities specialize in pediatric orthopedic surgery, providing state-of-the-art care.
- Spain:
Spain is a growing hub for medical tourism, offering top-tier pediatric orthopedic services. With high-quality medical infrastructure and expertise in congenital conditions, it’s an excellent choice for those seeking DDH treatment.
- Turkey:
Turkey has become a prominent destination for medical tourists due to its combination of affordable prices and high-quality care. Many Turkish hospitals are internationally accredited and specialize in pediatric surgeries, including DDH.
- India:
India offers world-class medical care at competitive prices. Pediatric orthopedic surgeons in India are skilled in treating complex cases of DDH, and the country’s medical centers are equipped with modern technology for diagnosis and treatment.
Risks & Considerations:
- Incomplete Reduction: In some cases, the hip may not be fully repositioned, requiring additional procedures.
- Re-dislocation: Despite successful initial treatment, there is a risk of the hip dislocating again, especially if the child is older at the time of treatment.
- Stiffness and Mobility Issues: After surgery, some patients may experience stiffness or limited range of motion in the affected hip, requiring prolonged physical therapy.
- Surgical Complications: As with any surgical procedure, there are risks of infection, bleeding, or adverse reactions to anesthesia.
- Long-Term Monitoring Required: Even after successful treatment, children with DDH often need ongoing monitoring to ensure the hip joint continues to develop correctly.
How to Choose the Right Doctor and Hospital:
When selecting a doctor and hospital for DDH treatment, it is crucial to prioritize expertise in pediatric orthopedics. Look for medical centers with a strong reputation in treating congenital conditions like DDH. The hospital should have modern diagnostic and surgical tools and access to advanced imaging techniques to monitor progress throughout the treatment.
Additionally, the doctor’s experience in handling complex pediatric cases is vital. Parents should inquire about the surgeon’s previous success with DDH cases and the type of procedures they specialize in. Checking patient reviews and seeking recommendations from medical professionals can also provide valuable insight into the quality of care you can expect from a particular facility or surgeon.
To receive a free quote for this procedure please click on the link: https://www.medicaltourism.com/get-a-quote
Patients are advised to seek hospitals that are accredited by Global Healthcare and only work with medical tourism facilitators who are certified by Global Healthcare Accreditation or who have undergone certification from the Certified Medical Travel Professionals (CMTP). This ensures that the highest standards in the industry are met. GHA accredits the top hospitals in the world. These are the best hospitals in the world for quality and providing the best patient experience. Click the link to check out hospitals accredited by the Global Healthcare Accreditation: https://www.globalhealthcareaccreditation.com
Frequently Asked Questions
What actually happens during hyperstimulation of the ovaries?
The patient will take injectable FSH (follicle stimulating hormone) for eight to eleven days, depending on how long the follicles take to mature. This hormone is produced naturally in a woman’s body causing one egg to develop per cycle. Taking the injectable FSH causes several follicles to develop at once, at approximately the same rate. The development is monitored with vaginal ultrasounds and following the patient’s levels of estradiol and progesterone. FSH brand names include Repronex, Follistim, Menopur, Gonal-F and Bravelle. The patient injects herself daily.
What happens during egg retrieval?
When the follicles have developed enough to be harvested, the patient attends an appointment where she is anesthetized and prepared for the procedure. Next, the doctor uses an ultrasound probe to guide a needle through the vaginal wall and into the follicle of the ovary. The thin needle draws the follicle fluid, which is then examined by an embryologist to find the eggs. The whole process takes about 20 minutes.
What happens to the eggs?
In the next step, the harvested eggs are then fertilized. If the sperm from the potential father, or in some cases, anonymous donor, has normal functionality, the eggs and sperm are placed together in a dish with a nutrient fluid, then incubated overnight to fertilize normally. If the sperm functionality is suboptimal, an embryologist uses Intracytoplasmic Sperm Injection to inject a single sperm into a single egg with an extremely precise glass needle. Once fertilization is complete, the embryos are assessed and prepared to be transferred to the patient’s uterus.
How are the embryos transferred back to the uterus?
The doctor and the patient will discuss the number of embryos to be transferred. The number of successfully fertilized eggs usually determines the number of eggs to be placed in the uterus. Embryos are transferred to the uterus with transabdominal ultrasound guidance. This process does not require anesthesia, but it can cause minor cervical or uterine discomfort. Following transfer, the patient is advised to take at least one days bed rest and two or three additional days of rest, then 10 to 12 days later, two pregnancy tests are scheduled to confirm success. Once two positive tests are completed, an obstetrical ultrasound is ordered to show the sac, fetal pole, yolk sac and fetal heart rate.
Embryoscope©
Built into this technology there is a microscope with a powerful camera that allows the uninterrupted monitoring of the embryo during its first hours of life. In this way, we can keep a close eye on the embryo, from the moment when the oocyte is inseminated and begins to divide into smaller and smaller cells, until it can be transferred to the uterus.
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Punta Mita Hospital
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Punta Mita Hospital - Genesis Cell
Mexico
