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The Journal of Bone and Joint Surgery 81:1462-82 (1999)
© 1999 The Journal of Bone and Joint Surgery, Inc.


Instructional Course Lecture

Instructional Course Lectures, The American Academy of Orthopaedic Surgeons - Primary Total Replacement of the Dysplastic Hip*{dagger}

FARES S. HADDAD, B.SC., M.CH.(ORTH), F.R.C.S.(ORTH){ddagger}, BASSAM A. MASRI, M.D, F.R.C.S.(C){ddagger}, DONALD S. GARBUZ, M.D., F.R.C.S.(C){ddagger} and CLIVE P. DUNCAN, M.D., F.R.C.S.(C){ddagger}, VANCOUVER, BRITISH COLUMBIA, CANADA

An Instructional Course Lecture, American Academy of Orthopaedic Surgeons


    Introduction
 
Developmental abnormalities following such childhood conditions as congenital dislocation and dysplasia of the hip, Legg-Calvé-Perthes disease, and slipped capital femoral epiphysis are the most common cause of secondary osteoarthritis of the hip3,43 and may be a cause of degeneration in a large portion of patients with so-called idiopathic osteoarthritis of the hip43. Despite concerted screening programs, a large number of patients still have the sequelae of dysplasia or dislocation of the hip in adulthood37,117.

The severity of hip dysplasia varies widely, ranging from the shallow acetabulum to the completely dislocated and so-called high-riding hip. Osteoarthritis of the hip secondary to hip dysplasia, therefore, presents a broad spectrum of reconstructive challenges. Hips that have mild anatomical abnormalities can be treated with standard primary total hip replacements, but until recently others would have been labeled unreconstructible16. Because patients who have hip dysplasia are often young and active, it is . . . [Full Text of this Article]


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