Uncemented Total Hip Arthroplasty in an Adult without Osteotomy for Neglected Developmental Dysplasia of Hip

J Orthop Case Rep. 2023 Nov;13(11):9-12. doi: 10.13107/jocr.2023.v13.i11.3986.

Abstract

Introduction: Developmental dysplasia of hip (DDH) is an abnormal development of hip joint which when neglected in early age group can lead to joint pain and secondary osteoarthritic changes. Crowe types III and IV neglected DDH joint is widely managed with total hip arthroplasty with subtrochanteric shortening.

Case report: A 52-year-old female presented with neglected DDH joint which was managed in two stages with femoral lowering followed by uncemented total hip arthroplasty without osteotomy.

Conclusion: With the two-stage procedure, subtrochanteric shortening which is widely accepted management for neglected DDH and the related complications were avoidable with a satisfactory Harris hip score.

Keywords: Developmental dysplasia of hip; arthroplasty; subtrochanteric osteotomy.

Publication types

  • Case Reports