27147 Osteotomy, iliac, acetabular or innominate bone; with open reduction of hip

Name of the Procedure:

Osteotomy, iliac, acetabular or innominate bone with open reduction of hip

Summary

In layman's terms, this procedure involves surgically cutting and realigning the pelvic bone, specifically the iliac, acetabular, or innominate bone, to correct hip joint abnormalities. The hip joint is then aligned back into its proper position through an open surgical approach.

Purpose

This procedure addresses developmental or acquired abnormalities of the hip joint, such as hip dysplasia. The goal is to improve hip function, alleviate pain, and prevent further joint damage.

Indications

• Hip dysplasia
• Persistent hip pain not relieved by conservative treatments
• Limping or difficulty walking
• Limited range of motion in the hip joint
• Progressive deterioration of the hip joint

Preparation

• Fasting for at least 8 hours before surgery
• Adjustment or cessation of certain medications as directed by the surgeon
• Pre-operative imaging studies like X-rays, MRI, or CT scans to plan the surgery
• Pre-surgical physical examination and blood tests

Procedure Description

1. The patient is placed under general anesthesia.
2. An incision is made over the hip to access the pelvic bone.
3. The affected section of the iliac, acetabular, or innominate bone is cut and realigned.
4. The hip joint is repositioned to achieve proper alignment.
5. Stabilizing hardware (screws, plates) may be used to secure the bones.
6. The surgical site is closed with sutures or staples.

Duration

The procedure typically takes about 2 to 4 hours.

Setting

The procedure is performed in a hospital operating room.

Personnel

• Orthopedic surgeon
• Surgical nurses
• Anesthesiologist
• Surgical technician

Risks and Complications

• Infection
• Blood clots
• Nerve or blood vessel injury
• Dislocation of the hip joint
• Nonunion or malunion of the bone
• Longer-term complications such as arthritis

Benefits

• Improved hip joint function
• Relief from pain
• Enhanced mobility
• Prevention of further joint damage

Recovery

• Initial hospital stay of 2 to 4 days
• Pain management with medications
• Use of crutches or walker for the first few weeks
• Physical therapy to regain strength and mobility
• Full recovery may take several months, with activity restrictions gradually lifted

Alternatives

• Physical therapy and exercise
• Medications for pain and inflammation
• Minimally invasive procedures, if appropriate
• Total hip replacement in severe cases

Patient Experience

• The patient will be asleep and pain-free during the procedure due to general anesthesia.
• Post-operative pain is managed with medications.
• The patient may experience some discomfort, swelling, and limited mobility which will gradually improve with recovery.