title: Bilateral Staged Total Hip Replacement and the Natural Progress of an Untreated Case of Developmental Dysplasia (Dislocation) of the Hip: A Clinical Case Report by the Surgeon and the Patient.
abstract: The natural history of an untreated case of a Developmental Dysplasia (Dislocation) of the Hip (DDH) associated with multiple congenital abnormalities is reported in a 55-years-old man. The patient's complaints and the varieties of the typical manifestations emerged in other parts of the body throughout the life are reviewed and discussed as comorbidities of a dysplastic condition. Two-stage bilateral total hip replacement (THR) operations were performed at the age of 55. In addition, to relieve the pain, the walking disabilities were overcome, hence gaining normal walking in swing and stances. The leg length discrepancy was corrected by anatomically positioned prostheses, examined by the knee bending test and characterized and evidenced by radiological features and indices.
authors.affiliation: Iranian Medical Science Councils Secretariat, Deputy of Education, Ministry of Health and Medical Education, Tehran, Iran;
authors.forename: Hamid
authors.initials: H
authors.lastname: Honarpisheh
authors.affiliation: Orthopedic Surgery, Shafa Orthopedic Hospital, Iran University of Medical Science, Tehran, Iran.
authors.forename: Mohammad Taghi
authors.initials: MT
authors.lastname: Ghazavi
keywords: Comorbidity; Developmental dysplasia of the hip; Hip dysplasia; Total hip replacement