spica, here we come

Our visit this morning had both some expected, and some unexpected news ...

The Rhino cruiser helped Annabelle's left hip. It's now in place, and Dr Olney anticipates it should stay there. It will need to continue to be braced for awhile to provide stability to the hip joint as it grows and hardens.

It did not help her right hip. He said that there is no improvement. So we are going to continue ahead with the scheduled closed reduction on Monday (today is Thursday). During this, she will be put under general anesthesia, dye will be injected into her hip, and this will allow him to reduce the hip, or manually put it in place. He may or may not need to do a tenotomy, to cut a tendon to allow the hip to be reduced. If all goes well, the hip will reduce, and she will be in a spica cast for 3 months. The cast will be changed out after 6 weeks.

If the hip does NOT reduce, we will not do the cast, she will go back into her Rhino cruiser until she's 6 months old, when she would have an OPEN reduction, or actual surgery on the hip joint.

We asked him if surgery was the best option, seeing as the Rhino cruiser helped her left hip - could it help her right one? He said if there had been any improvement, they might try that first, but seeing as her right hip is essentially unchanged - the best option going forward is the closed reduction/spica cast. Both hips will be in the cast, and this will not hurt her healing left hip at all - but it will continue to provide support.

If she's placed in the Spica cast, we'll likely stay overnight on Monday. If the hip doesn't reduce, we'll go home the same day.

I'm praying for the cast.