Hip Spica – Harper’s Hip Dysplasia Results A Year On

Hip Spica – Harper’s Hip Dysplasia Results A Year On

Little over a year ago Harper went into her first Hip Spica cast.  After several months of prolonged failed pavlik harness and hippo brace treatment it was decided the only route was shoving her in plaster cast from armpits to ankles.

hip spica - 1 year old in pink hip spica cast

Whilst it was so very difficult at the time it now seems like a distant memory.  Last time I updated the blog about Harper’s hip dysplasia was shortly after she had started walking.  I never did get round to giving a blog update about her hips 6 months on – because it still wasn’t the news I had been hoping for.

6 months on

First of all a quick update of what happened 6 months post spica.  Harper had just started walking a few weeks before her first major post hip spica appointment.  The specialist we saw (not our usual consultant) was a little concerned she had only just started walking and worse still was concerned about her hips still!  The actual socket was now in place and no longer dislocated out of the socket but her right hip had failed to catch up with the left hip.  We were told one of the arches wasn’t as smooth as it should be so they would closely monitor it and see where we go from there.

hip dysplasia - x rays

Notice the difference in size of the ball at the top of the socket on the right joint (remember the right joint is on the left side when looking at a xray!)

 

The above x-ray shows Harper’s 6 month x-ray results on the left.  The x-ray on the right shows her x-ray 8 months into pavlik and brace treatment.  Sadly I don’t have the original x-ray of her hips before treatment started but to give you some idea the right hip ball part of the joint was nowhere near the socket and was miles off!

I left the appointment still worried that we might have to face further surgery down the line.  The only advice we were given was to let her carry on walking and hope it carves out her hips sockets more.

1 year on

One year on and another checkup.  This time we saw the consultant who we had seen for most of Harper’s treatment.  Again another x-ray was needed so he could see how her hips were progressing.  During the appointment he also check her range of motion in Harper’s hip joints.

I’m pleased to sat today’s news was so much better than 6 months ago.  Harper’s hips have now caught up and are completely symmetrical.  The consultant even went back and looked at the old x-ray and thinks that the angle that the last specialist was concerned about was actually due to poor positioning during the x-ray!  I couldn’t believe it – all that time I had been worrying about possible extra surgery for no reason at all.

Our next Check Up

The news that Harper’s hips are now symmetrical and everything is looking normal is amazing news to hear.  It’s just one less thing on my mind to worry about.  Our next check up will be again in 6 months time.

Only another 13 years to go

Harper will still be monitored regularly until she turns 15.  Wearing any type of restrictive device for any length of time such as a pavlik harness, brace or hip spica can put the wearer at risk of a condition called avascular necrosis (AVN). This condition caused by restricted blood flow to the socket can ultimately lead to severe arthritis due to a break down of the bone.  For this reason it’s important that any child that has received treatment for hip dysplasia has hip x-rays throughout their childhood.

If you’re reading this and you have a child with hip dysplasia then why not have a read of my other posts to find out how we got on during our treatment.

 

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