Bilateral Total Hip Arthroplasty in 20 Years Old Female with Neglected Developmental Dysplasia of Hip.
BACKGROUND
Management of developmental dysplasia of hip in adult is challenging problem. Management protocols are not well defined in terms of operative technique. Patient may present very late. Usually they consult orthopaedic surgeons when osteoarthritic changes set in, leading to pain. Operative management is difficult because of difficult exposure, altered anatomy of soft tissue structures, hypoplastic femoral medullary canal and shallow and atypical acetabulum filled with soft tissues. Femoral head is up-ridden with contracted Abductors which resists reduction of femoral head into acetabulum. Altered anatomy of neurovascular structures also pose a risk of being injured during surgery.


METHODS
Here we are presenting a case of bilateral total hip arthroplasty in 20 years old female with developmental dysplasia of hip and sharing our experience of its operative management.


CONCLUSIONS
We concluded from this case study that total hip arthroplasty in developmental dysplasia of hip is technically demanding but gives good functional and clinical result. For getting functionally good result contracted soft tissues around joint need special attention.
Department of Orthopaedics, Indraprastha Apollo Hospital, Sarita Vihar, Delhi Mathura Road, New Delhi - 110076. India.
Saurabh
S
Agarwal
Department of Orthopaedics, Indraprastha Apollo Hospital, Sarita Vihar, Delhi Mathura Road, New Delhi - 110076. India.
Jitesh K
JK
Jain
Department of Orthopaedics, Indraprastha Apollo Hospital, Sarita Vihar, Delhi Mathura Road, New Delhi - 110076. India.
Rajeev K
RK
Sharma
Developmental dysplasia of hip; THR in DDH; Total hip arthroplasty