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Review
. 2021 Apr 29;13(4):e14763.
doi: 10.7759/cureus.14763.

Total Hip Replacement in Developmental Hip Dysplasia: A Narrative Review

George C Papachristou  1 , Eleni Pappa  2 , Dimitrios Chytas  3 , Panagiotis T Masouros  4 , Vasileios S Nikolaou  5
Affiliations
Review

Total Hip Replacement in Developmental Hip Dysplasia: A Narrative Review

George C Papachristou et al. Cureus. .

Abstract

The reconstruction of the hip joint in patients suffering from developmental hip dysplasia (DDH) is a demanding procedure and presents many challenges to the reconstructive surgeon. Higher rates of mechanical complications are present in this group of patients. The results of cemented and uncemented implants used in DDH patients are very promising, according to recent outcomes. However, the surgeon has to be aware of several complications, in order to establish an uneventful surgical management of DDH. The specific article investigates the technical challenges and clinical results of total hip arthroplasty in patients with DDH.

Keywords: congenital hip dysplasia; developmental hip disease; hip arthritis; total hip arthroplasty; total hip replacement.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. 3D hemipelvis remodelling from CT scan of dysplastic hip.
Figure 2
Figure 2. Intraoperative image of a patient with high dislocation.
The false acetabulum is indicated with the white arrow. The native, hypoplastic acetabulum is indicated with the black arrow.
Figure 3
Figure 3. Postoperative image of the same patient.
A trochanteric osteotomy was performed in order to facilitate the positioning of the hip joint to the lower native place.
Figure 4
Figure 4. High CDH, before and after arthroplasty.
Cotyloplasty was necessary for the accommodation of the artificial cup.  Nine years follow-up. Note the remodelling of the acetabulum roof.
See this image and copyright information in PMC

References

    1. Surgical treatment of developmental dysplasia of the hip in adults: I. Nonarthroplasty options. Sanchez-Sotelo J, Trousdale RT, Berry DJ, Cabanela ME. J Am Acad Orthop Surg. 2002;10:321–333. - PubMed
    1. Developmental dysplasia of the hip--good results of later total hip arthroplasty: 7135 primary total hip arthroplasties after developmental dysplasia of the hip compared with 59774 total hip arthroplasties in idiopathic coxarthrosis followed for 0 to 15 years in the Norwegian Arthroplasty Register. Engesaeter LB, Furnes O, Havelin LI. https://doi.org/10.1016/j.arth.2007.03.023. J Arthroplasty. 2008;23:235–240. - PubMed
    1. Total hip replacement in congenital dislocation and dysplasia of the hip. Crowe JF, Mani VJ, Ranawat CS. https://pubmed.ncbi.nlm.nih.gov/365863/#:~:text=The%20operative%20techni... J Bone Joint Surg Am. 1979;61:15–23. - PubMed
    1. Total hip arthroplasty after periacetabular and intertrochanteric valgus osteotomy. Osawa Y, Hasegawa Y, Okura T, Morita D, Ishiguro N. J Arthroplasty. 2017;32:857–861. - PubMed
    1. Low friction arthroplasty for old untreated congenital dislocation of the hip. Hartofilakidis G, Stamos K, Ioannidis TT. J Bone Joint Surg Br. 1988;70:182–186. - PubMed

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