On today’s episode, I sit down with Wesley Theunissen, an orthopedic surgeon based at the Máxima Medical Center in Veldhoven, Netherlands. He recently published a compelling study on spontaneous recovery in stable dysplastic hips, challenging the traditional approach of immediate bracing.

Hip dysplasia management remains a controversial topic, particularly in mild cases. Some hips initially classified as dysplastic can normalize over time with natural development and adherence to hip-healthy practices. Theunissen and his team found that over 90% of Graf IIb hips improved spontaneously, raising important questions about the necessity of early intervention. We discuss the predictors of spontaneous resolution, both positive and negative, and what this means for clinical decision-making.

From there, we shift the conversation to the downsides of bracing, even for mild dysplasia, particularly its impact on parents and caregivers. Another of his studies provides quantitative insights into the parental experience, revealing the emotional and logistical burden that bracing can place on families. We explore how information overload and uncertainty can make the process overwhelming for parents.

We then turn to a third study, which focuses on strategies to improve information delivery for parents. His research highlights that young parents overwhelmingly prefer visually supported, personalized information, which can help reduce anxiety and improve adherence to treatment recommendations. However, we also acknowledge the challenges of implementing these strategies in overburdened healthcare systems.

Throughout our conversation, we touch on the logistics of running an infant hip clinic, the influence of surgeon bias, and the role of experience in guiding clinical decisions.