Total Hip Arthroplasty for ‘Dysplasia’ and Congenital Disease of the Hip - Review Paper

Abstract

Total Hip Arthroplasty for dysplasia or congenital disease of the hip is technically demanding surgery that requires an in-depth understanding of the complex techniques required to solve the problems of both the pelvis and the femur. It also requires the ability to perform an experienced evaluation of the patient. The ‘high dislocation’ is the extreme example in this range of surgery. Patients are often young or middle aged; their hip pain and functional disability has so adversely affected their quality of life, they are more often than not keen for surgical intervention. A careful consent pertaining to specific complications related to each individual patient’s pathology is essential, as the surgical solution is not likely to rest with a total hip arthroplasty alone. In the majority of cases, there is often a requirement for treatment of the knees and the thoracolumbar spine as well. Emphasis should be directed toward nerve palsies and the fact that, in the majority of cases, revision surgery will be required.