![]() Gait analysis after total hip arthroplasty with leg-length equalization in women with unilateral congenital complete dislocation of the hip-comparison with untreated patients. Rotational acetabular osteotomy for the dysplastic hip. A modified periacetabular osteotomy with use of the transtrochanteric exposure. Hsieh PH, Shih CH, Lee PC, Yang WE, Lee ZL. A new periacetabular osteotomy for the treatment of hip dysplasias: technique and preliminary results. Gait analysis after shoe lifts in adults with unilateral developmental dysplasia of the hip. Gait analysis of adult patients with complete congenital dislocation of the hip. Congenital dysplasia and dislocation of the hip in children and adults. Classification of acetabular deficiencies and operative treatment with acetabuloplasty combined with total hip arthroplasty. Hartofilakidis G, Stamos K, Karachalios T, et al. Total hip replacement in congenital dislocation and dysplasia of the hip. Three-dimensional computed tomography analysis of non-osteoarthritic adult acetabular dysplasia. Ito H, Matsuno T, Hirayama T, Tanino H, Yamanaka Y, Minami A. Evaluation of acetabular dysplasia using a top view of the hip on three-dimensional CT. Nakamura S, Yorikawa J, Otsuka K, Takeshita K, Harasawa A, Matsushita T. Three-dimensional morphology and bony range of movement in hip joints in patients with hip dysplasia. Nakahara I, Takao M, Sakai T, Miki H, Nishi T, Sugano N. Hip disease in the young adult: current concepts of etiology and surgical treatment. 2008 466:264–72.Ĭlohisy JC, Beaulé PE, O’Malley A, Safran MR, Schoenecker P. The etiology of osteoarthritis of the hip: an integrated mechanical concept. Ganz R, Leunig M, Leunig-Ganz K, Harris WH. Developmental dysplasia of the hip: controversies and current concepts. Adult chronic hip pain: radiographic evaluation. Risk factors for developmental dysplasia of the hip: ultrosonographic findings in the neonatal period. Developmental dysplasia of the hip: definition, recognition, and prevention of late sequelae. Perinatal risk factors for developmental dysplasia of the hip. 1976 58:176–83.Ĭhan A, McCaul KA, Cundy PJ, Haan EA, Byron-Scott R. Osteoarthritis of the young adult hip: etiology and treatment. Although total hip is the main trend, surface replacement conserves more bone stock and has good results if the patient and prosthesis are well-selected and the surgery done with a meticulously technique. For a patient over age of 40 with degenerative arthritis, replacement arthroplasty can be considered. For young patients, periacetabular osteotomy can be applied for a dysplastic but relatively congruent hip, and salvage pelvic osteotomies with or without a proximal femoral osteotomy can be considered for an incongruent hip. ![]() Conservative treatment includes observation for the hip without intolerable pain and shoe lift for the shorter limb. Crowe’s or Hartofilakidis’ classifications are commonly applied for grading the deformities of adult DDH/CDH. Due to not treated in the early life for some reasons, developmental dysplasia and dislocation of the hip (DDH/CDH) remain a problem in the adults and contain a wide range of deformities from a symptomless dysplasia to a complete dislocation with severe anatomic anomaly. ![]()
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