Topic Highlight
Copyright ©2012 Baishideng Publishing Group Co., Limited. All rights reserved.
World J Orthop. May 18, 2012; 3(5): 42-48
Published online May 18, 2012. doi: 10.5312/wjo.v3.i5.42
Total hip arthroplasty in developmental dysplasia of the hip: Review of anatomy, techniques and outcomes
Scott Yang, Quanjun Cui
Scott Yang, Quanjun Cui, Department of Orthopaedic Surgery, University of Virginia School of Medicine, Charlottesville, VA 22903, United States
Author contributions: Yang S primarily wrote, revised and final approved manuscript; Cui Q made secondary writing, critical revisions and final approval.
Correspondence to: Quanjun Cui, MD, Associate Professor, Department of Orthopaedic Surgery, University of Virginia School of Medicine, Charlottesville, VA 22903, United States. qc4q@hscmail.mcc.virginia.edu
Telephone: +1-434-2430236 Fax: +1-434-2430242
Received: October 28, 2011
Revised: February 20, 2012
Accepted: May 13, 2012
Published online: May 18, 2012
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: Developmental dysplasia of the hip, Total hip arthroplasty, Hip, Arthritis, Hip replacement