J Korean Orthop Assoc.  2022 Jun;57(3):183-190. 10.4055/jkoa.2022.57.3.183.

Pediatric Hip Disease (II): Developmental Dysplasia of the Hip – Treatment of Residual Dysplasia

• Kim HT
• Park YG
• Ahn TY

• KMID: 2530664
• DOI: http://doi.org/10.4055/jkoa.2022.57.3.183

Abstract

Residual dysplasia is common in spite of early treatment of developmental dysplasia of the hip and often requires a harness or femoral/ acetabular surgery. Operative treatment is roughly divided into two categories: reconstructive and salvage; but the reconstruction such as re-directional osteotomy of the acetabulum should always be considered first. Operative treatment consists of osteotomy on femur or acetabulum, or both. Before the surgery, thorough evaluation of the patient is necessary to select appropriate operation. Avascular necrosis is one of the most catastrophic complications, which is often seen in delayed diagnosis or surgically treated patients.

Keyword

hip dysplasia; residual hip dysplasia; avascular necrosis of the femoral head