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

被引：50

作者：

Yang, Scott ^{[1
]}

Cui, Quanjun ^{[1
]}

机构：

[1] Univ Virginia, Sch Med, Dept Orthopaed Surg, Charlottesville, VA 22903 USA

来源：

WORLD JOURNAL OF ORTHOPEDICS | 2012年 / 3卷 / 05期

关键词：

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

D O I：

10.5312/wjo.v3.i5.42

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

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. (C) 2012 Baishideng. All rights reserved.

引用

页码：42 / 48

页数：7

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