I think those were actually two different castings... point is, the previous surgeries and castings didn't seem to work- or at least not as much as we would have liked them to. Here's what is going on now:
(CT scan from the end of December of 2008) It shows Aidan's acetabulum not developed as it should- and a slight dislocation.
The "bad" hip is on the left side of the picture. The doctor drew a line a little up and across from the tailbone. He said this is where he plans to cut the bone, shift it and take bone from the top of the hip and fill in the gap. He also plans to re-structure the acetabulum (the socket part). Then, they will put him in another spica cast (I'm guessing like he was in when he was little- but I don't know that for sure). The doctor says he is about 85% sure this will work (i.e. that he will walk normally after this). He said since he hasn't seen a situation quite like Aidan, he just isn't sure. They have tried to take care of Aidan's problem hip with less restrictive surgeries in the past, but they just didn't work. So, they are really going for it this time. He will be in the hospital for an estimated two to three nights for pain management. Then David and I will be taking turns staying home with him to care for him.
Aidan has been in pain lately- so we are comfortable with our decision to go through with the surgery, although at the same time, we feel badly that he will have to go through this whole thing. It will be interesting to see how he handles the surgeries this time- previously he has not really had a "voice"- at least now we will know what he is feeling- rather than trying to guess. Anyway- hopefully that gets everyone up to speed on the plan for Aidan. His surgery is March 13th.
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