Hip dysplasia treatment depends on the age of the affected person and the extent of the hip damage. Infants are usually treated with a brace that holds the ball portion of the joint firmly in its socket for several months. This helps the socket mold to the shape of the ball.
The brace doesn't work as well for babies older than 6 months. Instead, the doctor may move the bones into the proper position and then hold them there for several months with a full-body cast. Sometimes surgery is needed to fit the joint together properly.
Modify the angle of the bones
Older children and adults usually require surgery to correct the damage caused by hip dysplasia. In some cases, a wedge of bone can be removed from the thighbone to help shift the position of the ball portion of the joint. In periacetabular (pair-e-as-uh-TAB-u-lur) osteotomy, the socket is cut free from the pelvis and then repositioned so it matches up better with the ball.
Periacetabular osteotomy requires a high level of surgical expertise. Mayo surgeons have performed hundreds of these procedures.
If dysplasia has severely damaged your hip, Mayo Clinic specialists may recommend hip replacement surgery. Younger people tend to wear out a hip replacement faster than older people. If you're young and active, you may need another hip replacement in 15 or 20 years.
Nov. 19, 2012