Total Hip Replacement in Developmental Hip Dysplasia: A Narrative Review

Abstract

The reconstruction of the hip joint in patients suffering from developmental hip dysplasia (DDH) is a demanding procedure and presents many challenges to the reconstructive surgeon. Higher rates of mechanical complications are present in this group of patients. The results of cemented and uncemented implants used in DDH patients are very promising, according to recent outcomes. However, the surgeon has to be aware of several complications, in order to establish an uneventful surgical management of DDH. The specific article investigates the technical challenges and clinical results of total hip arthroplasty in patients with DDH.

Post-Arthroplasty Spatiotemporal Gait Parameters in Patients with Hip Osteoarthritis or Developmental Dysplasia of the Hip: An Observational Study

“…As a result, patients who undergo THA may continue to experience pain and discomfort on the affected side, even after surgery, which could explain why patients tend to protect the operated side [19]. Another possible reason is that in most DDH cases, widened intraoperative articular capsule release and tenotomies of the shortened hip muscles are advocated [25], and these necessary intraoperative soft tissue releases may reflect in the ADLs performance of DDH patients. In order to minimize the soft tissue releases' effects, studies suggest that patients with developmental dysplasia of the hip (DDH) can benefit from individualized exercise programs that prioritize strengthening the intact muscles in the lower limb.…”

“…This postoperative time was chosen as sufficient to allow all patients to adopt a stable gait pattern [23]. All participants underwent a cementless THA through a posterior approach [24,25] performed by the same team of orthopaedic surgeons and all patients followed the same postoperative physiotherapy program. Information was obtained by reviewing the registry data from their admission for THA surgery and by conducting telephone interviews.…”

Post-Arthroplasty Spatiotemporal Gait Parameters in Patients with Hip Osteoarthritis or Developmental Dysplasia of the Hip: An Observational Study

“…This postoperative time was chosen as a sufficient period to allow all patients to adopt a stable gait pattern [ 26 ]. All participants underwent a cementless THA through a posterior approach [ 27 , 28 ] performed by the same team of orthopaedic surgeons and all patients followed the same postoperative physiotherapy program. Information was obtained by reviewing the registry data from their admission for THA surgery and by conducting telephone interviews.…”

Clinical efficacy of greater trochanter osteotomy with tension wire fixation in total hip arthroplasty for Crowe type IV developmental dysplasia of the hip

“…Crowe type IV developmental dysplasia of the hip (DDH) has the most complex degree of DDH lesions, which often causes earlier onset of hip pain in patients and the need for hip replacement surgery. These patients face several problems and challenges during total hip arthroplasty (THA), which aims at obtaining normal or close to normal hip biomechanics, prevent the abnormal increase in hip load, reduce the chance of wear and aseptic loosening, and prolong the life of the artificial hip prosthesis [ 1 , 2 ]. Femoral shortening osteotomy is vital to the surgery.…”