Total hip arthroplasty for adult patients with developmental dysplasia and dislocation of the hip

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Total hip arthroplasty (THA) is indicated for adult DDH patients with advanced arthritis and high dislocations. THA for patients with Crowe I, II, and III or Hartofilakidis dysplasia and low dislocation are not difficult for a surgeon experienced with hip reconstruction. Medialization of the acetabular cup with or without an autologous bone graft is advised for reconstruction of the cup. A protocol for symmetrize the lower limbs is proposed for Crowe IV (or Hartofilakidis high dislocation). This protocol includes iliofemoral distraction before THA, implanting the cup at the best bone stock, proximal femoral osteoplasty (greater trochanter osteotomy, expansion osteoplasty, interlocking wire fixation of the osteoplasty, and shortening-derotation osteotomy of the femur). Middle-term results of THA for DDH/CDH patients are similar to ordinary THA’s. But long-term results may be compromised by young age of the patients, small cups, and conventional polyethylene inserts. With improvement of the bearing materials, a better long-term result is expected.

Original languageEnglish
Title of host publicationDevelopmental Dysplasia and Dislocation of the Hip in Adults
PublisherSpringer Singapore
Pages43-69
Number of pages27
ISBN (Electronic)9789811304149
ISBN (Print)9789811304132
DOIs
Publication statusPublished - 2018 Jan 1

Fingerprint

Hip Dislocation
Arthroplasty
Hip
Osteotomy
Femur
Tacrine
Bone and Bones
Polyethylene
Thigh
Arthritis
Lower Extremity
Transplants

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Lai, K-A. (2018). Total hip arthroplasty for adult patients with developmental dysplasia and dislocation of the hip. In Developmental Dysplasia and Dislocation of the Hip in Adults (pp. 43-69). Springer Singapore. https://doi.org/10.1007/978-981-13-0414-9_4
Lai, Kuo-An. / Total hip arthroplasty for adult patients with developmental dysplasia and dislocation of the hip. Developmental Dysplasia and Dislocation of the Hip in Adults. Springer Singapore, 2018. pp. 43-69
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Lai, K-A 2018, Total hip arthroplasty for adult patients with developmental dysplasia and dislocation of the hip. in Developmental Dysplasia and Dislocation of the Hip in Adults. Springer Singapore, pp. 43-69. https://doi.org/10.1007/978-981-13-0414-9_4

Total hip arthroplasty for adult patients with developmental dysplasia and dislocation of the hip. / Lai, Kuo-An.

Developmental Dysplasia and Dislocation of the Hip in Adults. Springer Singapore, 2018. p. 43-69.

Research output: Chapter in Book/Report/Conference proceedingChapter

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Lai K-A. Total hip arthroplasty for adult patients with developmental dysplasia and dislocation of the hip. In Developmental Dysplasia and Dislocation of the Hip in Adults. Springer Singapore. 2018. p. 43-69 https://doi.org/10.1007/978-981-13-0414-9_4