Outcome of total hip arthroplasty in patients with dysplasia/dislocation and planning for revision

Po-Ting Wu, Chih Hsiang Chang, Hsin Nung Shih, Yu Han Chang, Mel S. Lee, Kuo-An Lai

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

The reported outcomes of total hip arthroplasty (THA) for developmental dysplasia of the hip (DDH) varied widely because a wide range of deformities were included and different treating protocols and different materials were applied. The most common complications were dislocation, infection, and nerve palsy. The middle-term results are similar to ordinary THAs. But long-term results are compromised by young age of the patients, small cups, and conventional polyethylene insert. To reconstruct the acetabular cup at or near the anatomic level without lateral placement is better than a high center and lateral placement. Application of ceramic head, liner, and highly cross-linked polyethylene insert may improve the complications caused by wearing. Loosening and component wearing are the most common reasons for revision. A comprehensive planning is advised to face the problems of the cup, the stem, and the leg length discrepancy at revision.

Original languageEnglish
Title of host publicationDevelopmental Dysplasia and Dislocation of the Hip in Adults
PublisherSpringer Singapore
Pages71-87
Number of pages17
ISBN (Electronic)9789811304149
ISBN (Print)9789811304132
DOIs
Publication statusPublished - 2018 Jan 1

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Polyethylene
Arthroplasty
Hip
Tacrine
Hip Dislocation
Ceramics
Paralysis
Leg
Head
Infection

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Wu, P-T., Chang, C. H., Shih, H. N., Chang, Y. H., Lee, M. S., & Lai, K-A. (2018). Outcome of total hip arthroplasty in patients with dysplasia/dislocation and planning for revision. In Developmental Dysplasia and Dislocation of the Hip in Adults (pp. 71-87). Springer Singapore. https://doi.org/10.1007/978-981-13-0414-9_5
Wu, Po-Ting ; Chang, Chih Hsiang ; Shih, Hsin Nung ; Chang, Yu Han ; Lee, Mel S. ; Lai, Kuo-An. / Outcome of total hip arthroplasty in patients with dysplasia/dislocation and planning for revision. Developmental Dysplasia and Dislocation of the Hip in Adults. Springer Singapore, 2018. pp. 71-87
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Wu, P-T, Chang, CH, Shih, HN, Chang, YH, Lee, MS & Lai, K-A 2018, Outcome of total hip arthroplasty in patients with dysplasia/dislocation and planning for revision. in Developmental Dysplasia and Dislocation of the Hip in Adults. Springer Singapore, pp. 71-87. https://doi.org/10.1007/978-981-13-0414-9_5

Outcome of total hip arthroplasty in patients with dysplasia/dislocation and planning for revision. / Wu, Po-Ting; Chang, Chih Hsiang; Shih, Hsin Nung; Chang, Yu Han; Lee, Mel S.; Lai, Kuo-An.

Developmental Dysplasia and Dislocation of the Hip in Adults. Springer Singapore, 2018. p. 71-87.

Research output: Chapter in Book/Report/Conference proceedingChapter

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Wu P-T, Chang CH, Shih HN, Chang YH, Lee MS, Lai K-A. Outcome of total hip arthroplasty in patients with dysplasia/dislocation and planning for revision. In Developmental Dysplasia and Dislocation of the Hip in Adults. Springer Singapore. 2018. p. 71-87 https://doi.org/10.1007/978-981-13-0414-9_5