What follow-up protocols should be in place for infants diagnosed with DDH after initial treatment?

Follow-up protocols for infants diagnosed with developmental dysplasia of the hip (DDH) after initial treatment should include regular clinical and imaging assessments to monitor hip development and ensure stability.

Typically, infants require scheduled follow-up appointments with a paediatric orthopaedic specialist to assess hip position, range of motion, and to detect any residual or recurrent dysplasia.

Imaging, usually with ultrasound in early infancy and X-rays as the child grows, is essential to confirm hip reduction and monitor acetabular development.

Follow-up frequency is often every few weeks initially, then spaced out as the hip stabilizes, continuing until the hip joint is confirmed to be normal, often up to 1 to 2 years of age or longer depending on severity and treatment response.

Physiotherapy may be involved to support hip function and development.

Parents should be advised on signs of complications and the importance of adherence to follow-up schedules.

Referral to multidisciplinary teams including physiotherapists and paediatric orthopaedic surgeons is recommended for comprehensive care.

Universal developmental surveillance should continue alongside DDH-specific follow-up to monitor overall child development.

This approach aligns with UK paediatric musculoskeletal and developmental follow-up principles, ensuring early detection of any ongoing issues and timely intervention.