Closed Reduction of Developmental Dislocation of the Hip with Application of a Waterproof Cast

Developmental dysplasia of the hip (DDH) is most common orthopaedic condition in infants. Approximately 1 10 infants are born with instability, 100 treated for dysplasia, and 500 completely dislocated hips. Due to high prevalence pathology, there clear algorithms diagnosis, treatment, follow-up. An ultrasound should be performed if infant exhibits any risk factors, either intrauterine or at birth. If it positive DDH, treatment started, typically a dynamic brace such as Pavlik method. bracing unsuccessful presents an age when deemed too late start then closed reduction considered. Typically this done under anesthesia holding so-called human position maintaining least three months. One significant challenges casting after hygiene entire months treatment. This paper detailed surgical technique guide help physicians reduction, waterproof material, advanced perioperative imaging confirm reduction.