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World J Orthop. 2012 May 18;3(5):42-8. doi: 10.5312/wjo.v3.i5.42.

Total hip arthroplasty in developmental dysplasia of the hip: Review of anatomy, techniques and outcomes.

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1
Scott Yang, Quanjun Cui, Department of Orthopaedic Surgery, University of Virginia School of Medicine, Charlottesville, VA 22903, United States.

Abstract

Total hip arthroplasty (THA) in developmental dysplasia of the hip (DDH) presents many challenges to the reconstructive surgeon. The complex femoral and acetabular anatomy makes standard reconstruction technically challenging. Acetabular coverage can be improved by medialization of the component or augmentation of the deficient areas with bone graft. Femoral shortening osteotomies are considered in cases of severe dysplasia and frankly dislocated hips. Each patient's unique anatomy dictates what options of reconstruction are available. The functional outcomes of THA in DDH are generally excellent, though higher rates of mechanical failure have been reported in this group. This article reviews the anatomy, classification, technical considerations, and outcomes of THA in patients with DDH.

KEYWORDS:

Arthritis; Developmental dysplasia of the hip; Hip; Hip replacement; Total hip arthroplasty

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