http://www.bjj.boneandjoint.org.uk/content/95-B/11_Supple_A/31.abstract

The dysplastic hip

not for the shallow surgeon

1. K. Gustke, MD, Adjunct Clinical Professor of Orthopaedic Surgery1

+Author Affiliations

1. 1University of South Florida College of Medicine, Florida Orthopaedic Institute, 13020 N. Telecom Parkway, Temple Terrace, Florida 33637, USA.

1. Correspondence should be sent to Dr K. Gustke; e-mail:kgustke@floridaortho.com

Abstract

Total hip replacement for developmental hip dysplasia is challenging. The anatomical deformities on the acetabular and femoral sides are difficult to predict. The Crowe classification is usually used to describe these cases – however, it is not a very helpful tool for pre-operative planning. Small acetabular components, acetabular augments, and modular femoral components should be available for all cases. Regardless of the Crowe classification, the surgeon must be prepared to perform a femoral osteotomy for shortening, or to correct rotation, and/or angulation.

Cite this article: Bone Joint J 2013;95-B, Supple A:31–6.

Footnotes

• No benefits in any form have been received or will be received from a commercial party related directly or indirectly to the subject of this article.
  This paper is based on a study which was presented at the 29th Annual Winter 2012 Current Concepts in Joint Replacement® meeting held in Orlando, Florida, 12th – 15th December.

• Received September 7, 2013.
• Accepted September 8, 2013.

• ©2013 The British Editorial Society of Bone & Joint Surgery