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The Journal Of Bone & Joint Surgery - Current Concepts Review: 03 October 2012 - Volume 94 - Issue 19 - p. 1809-1821

Total Hip Arthroplasty for Adult Hip Dysplasia

Rogers Benedict A., MA, MSc, DipSEM, FRCS(Orth); Garbedian Shawn, MD, FRCSC; Kuchinad Raul A., MD, FRCSC; Backstein David, MD, FRCSC; Safir Oleg, MD, FRCSC; Gross Allan E., MD, FRCSC
Hip
Preoperative planning is essential to define anatomy, clarify the operative approach and exposure, and ensure that suitable implants are available.
Concerns exist regarding the long-term effectiveness and safety of hip resurfacing arthroplasty for the young dysplastic hip.
In light of current evidence, concerns exist regarding the use of metal-on-metal articulations for hip arthroplasty in the young dysplastic hip.
The ideal bearing surface is not known, although the longest data available support the use of metal-on-polyethylene.

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