Central Ortho & SpineCentral Ortho & Spineest. Istanbul · 1998
Paediatric Orthopaedics · Istanbul

Developmental Hip Dysplasia — Expert Care from Birth to Adulthood

Shallow hip socket (dysplasia) or complete dislocation — diagnosed at birth or discovered in adulthood. Treatment is most effective when started early.

900+
Paediatric cases
0–6
Months: optimal harness age
27yr
Paediatric orthopaedics experience

What is Developmental Hip Dysplasia?

DDH is a spectrum of hip abnormalities — from a mildly shallow acetabulum (dysplasia) to a fully dislocated femoral head. It is identified by newborn screening (Ortolani/Barlow), ultrasound, and X-ray.

Treatment depends on age and severity. Early Pavlik harness achieves excellent results; older children may need closed or open reduction with osteotomy. Adults with residual dysplasia benefit from PAO before arthritis develops.

Key Facts
  • Affects 1–3% of newborns; more common in girls and breech presentation
  • Universal neonatal screening allows early harness treatment (>95% success)
  • Untreated DDH leads to early hip osteoarthritis by the 3rd–4th decade
  • Periacetabular osteotomy (PAO) in adults delays or prevents hip replacement
Treatment Options

Age-Adapted Hip Dysplasia Treatment

01

Pavlik Harness (0–6 months)

The first-line treatment for infants — a soft dynamic harness maintains hip position while allowing leg movement. Success rate >95% when started before 6 months.

02

Closed / Open Reduction (6–18 months)

Gentle reduction under anaesthesia ± hip spica cast. Open reduction needed if closed reduction fails.

03

Pelvic Osteotomy (1–8 years)

Salter, Pemberton, or Dega osteotomy redirects the acetabulum to cover the femoral head — combined with femoral osteotomy when needed.

04

PAO in Adolescents / Adults

Periacetabular osteotomy re-orients the entire acetabulum, restoring normal joint mechanics and delaying arthritis by decades.

Why Central Hospital Istanbul

World-class orthopaedic care at a fraction of Western costs

50–70% Cost Saving

JCI-accredited surgery at 30–50% of UK / US prices — without compromising implant quality or surgical standards.

Fast Access

Consultations within 48 hours. Surgery typically scheduled within 1–2 weeks, versus months of waiting in public systems.

26 Specialists

A multidisciplinary team of orthopedic surgeons, spine surgeons, PM&R physicians and physiotherapists under one roof.

47 Countries

We coordinate everything — airport transfers, hotel, interpreter, medical visa letter — so you focus only on recovery.

Your Patient Journey

From first contact to full recovery — we handle every step

01
Day 1 — Free

Online Consultation

Share MRI/X-ray scans and medical history. Our team reviews and responds within 24 hours with a personalised treatment plan and cost estimate.

02
Week 1–2

Travel & Admission

We arrange airport transfer, hotel recommendations, and hospital admission. A dedicated patient coordinator is available throughout.

03
Day 2–7

Surgery & Hospital Stay

Procedure performed by your assigned surgeon. Private room, daily physiotherapy, and nursing care included in the package.

04
Day 3–14

Recovery & Rehabilitation

Robotic physiotherapy and supervised exercise begin early. Discharge criteria are met before your return flight is booked.

05
Ongoing

Remote Follow-up

Video consultations at 6 weeks, 3 months, and 1 year. Your home physician receives a full surgical report.

Ready to take the first step?

Send your MRI or X-rays today. Our team reviews every case within 24 hours — no obligation, no cost.

What happens next
  • Surgeon reviews your scans and sends a written opinion within 24 h
  • You receive a full cost estimate with no hidden fees
  • We arrange travel, hotel and hospital — you focus on getting better