Pediatric Hip Disease (II): Developmental Dysplasia of the Hip – Treatment of Residual Dysplasia
10.4055/jkoa.2022.57.3.183
- Author:
Hui Taek KIM
1
;
Yong Geon PARK
;
Tae Young AHN
Author Information
1. Department of Orthopedic Surgery, Pusan National University School of Medicine, Yangsan, Korea
- Publication Type:Review
- From:The Journal of the Korean Orthopaedic Association
2022;57(3):183-190
- CountryRepublic of Korea
- Language:English
-
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.