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Acetabular Dysplasia

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The Adult Hip - Master Case Series and Techniques

Abstract

Developmental dysplasia of the hip (DDH) is the most common childhood hip disorder [1]; its prevalence however shows remarkable ethnic changes [2, 3]. The anatomical and biomechanical alterations of the acetabulum, femur and pelvis in DDH predispose to hip OA development [4]. Possible deformities encountered in different types of the disease are:

  1. 1.

    The true acetabulum may be shallow with full contact with the femoral head or partly connected with a false acetabulum or severely small, shallow and triangular with complete loss of congruency with femoral head [5].

  2. 2.

    Limited bone stock and usually anterior acetabular segmental wall defects. Bone stock is usually rearranged posteriorly related to acetabulum [6, 7].

  3. 3.

    Version deformities of the acetabulum; up to 1/3 are retroverted [6, 8, 9].

  4. 4.

    Insufficient coverage of femoral head from acetabulum.

  5. 5.

    Anteversion of the iliac rim [6].

  6. 6.

    Femoral hypoplasia with loss of metaphyseal flare [10].

  7. 7.

    Narrow and straight femoral intramedullary canal [11, 12].

  8. 8.

    Marked femoral anteversion and torsion and short neck [10, 13].

  9. 9.

    Coxavalga and lower offset [6].

  10. 10.

    Posterior position of the greater trochanter [6, 13].

  11. 11.

    Proximal femoral deformity from previous osteotomies [10, 13].

  12. 12.

    Distorted hip biomechanics with shortening and deficiency of abductors, flexors and extensors due to persistent dislocation [6].

  13. 13.

    Abundant soft tissue (capsule and ligaments) [6].

  14. 14.

    Unilateral limping and LLD.

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Authors and Affiliations

  1. Academic Orthopaedic Unit, Aristotle University Medical School, Thessaloniki, Greece

    Eustathios Kenanidis M.D., Ph.D., M.Sc. & Panagiotis Kakoulidis M.D.

  2. Academic Orthopaedic Unit, Papageorgiou General Hospital, Aristotle University Medical School, Thessaloniki, Greece

    Eleftherios Tsiridis M.D., Ph.D., F.A.C.S., F.R.C.S.

  3. Faculty of Medicine, Hacettepe University, Ankara, Turkey

    Bülent Atilla M.D.

  4. Al Zahra Hospital Dubai, Dubai, UAE

    Goran Bicanic M.D., Ph.D.

  5. Department of Orthopaedic Surgery and Traumatology, University Hospital Centre Zagreb, Zagreb, Croatia

    Zoran Sulje M.D.

  6. University of Zagreb, School of Medicine, Zagreb, Croatia

    Domagoj Delimar M.D., Ph.D.

  7. Department of Orthopaedic Surgery, University Hospital Centre Zagreb, Zagreb, Croatia

    Domagoj Delimar M.D., Ph.D.

  8. Department of Joint Pathology, Sytenko Institute of Spine and Joint Pathology, Kharkiv, Ukraine

    Stanislav Bondarenko M.D., Ph.D., Volodymyr Filippenko M.D. & Mandus Akonjom M.B.B.Ch., M.D., F.I.C.S.

  9. Department of Orthopaedic Surgery, University of Debrecen, Debrecen, Hungary

    Zoltán Csernátony D.Sc., László Kiss M.D., Gyula Győrfi M.D. & Lei Zhang M.D.

  10. Department of Traumatology, University of Debrecen, Debrecen, Hungary

    Gergely Huszanyik M.D.

  11. Anderson Orthopaedic Research Institute, Alexandria, VA, USA

    Richard L. Purcell M.D. & Charles A. Engh Jr M.D.

  12. Walter Reed Military, Medical Center, Bethesda, MD, USA

    Richard L. Purcell M.D.

  13. Inova Mount Vernon Joint Replacement Center, Alexandria, VA, USA

    Charles A. Engh Jr M.D.

  14. Department of Orthopaedic Surgery, Institute of Joint Replacement, Kyoto Katsuta Hospital, Kyoto, Japan

    Hiroshi Fujita M.D.

  15. The Center for Hip and Knee Surgery, St. Francis Hospital, Mooresville, IN, USA

    John B. Meding M.D. & E. Michael Keating M.D.

  16. Kobe City Medical Center General Hospital, Kobe, Japan

    Tatsuya Sueyoshi M.D., Ph.D.

  17. University Hospital Örebro, Örebro, Sweden

    Per Wretenberg M.D., Ph.D.

  18. Department of Surgical and Perioperative Sciences, Umeå University, Umeå, Sweden

    Sebastian Mukka M.D., Ph.D., Volker Otten M.D. & Arkan S. Sayed-Noor M.D., Ph.D., F.R.C.S.

  19. University College London Hospital, London, UK

    Ahmad S. Khaled M.B.Ch.B., M.R.C.S. & Fares S. Haddad B.Sc., M.D., M.Ch., F.R.C.S.

  20. Department of Trauma & Orthopaedics, University College Hospital, London, UK

    Sujith Konan M.B.B.S., M.D.(Res.), F.R.C.S.

  21. Hospital for Special Surgery, New York, NY, USA

    Chitranjan S. Ranawat M.D., Alberto V. Carli M.D., M.Sc., F.R.C.S.C. & Seth A. Jerabek M.D.

  22. Department of Orthopedic Surgery, Hospital for Special Surgery, New York, NY, USA

    Michael Gaudiani M.D.

  23. Department of Orthopaedic and Traumatology, Koşuyolu Medipol Hospital, İstanbul Medipol University, İstanbul, Turkey

    Ibrahim Azboy M.D.

  24. Department of Orthopaedics, Harvard Medical School, Boston, MA, USA

    Antonia F. Chen M.D., M.B.A.

  25. Brigham and Women’s Hospital, Boston, MA, USA

    Antonia F. Chen M.D., M.B.A.

  26. Rothman Institute, Philadelphia, PA, USA

    Richard Rothman M.D., Ph.D.

  27. New York University School of Medicine, New York, NY, USA

    Lazaros Poultsides M.D., M.Sc., Ph.D.

  28. Department of Orthopaedic Surgery, Division of Adult Reconstruction, New York Langone Orthopaedic Hospital, New York Langone Medical Center, New York, NY, USA

    Lazaros Poultsides M.D., M.Sc., Ph.D.

  29. Orthopaedic Surgery, Weill Cornell Medical College, New York, NY, USA

    Seth A. Jerabek M.D.

  30. Laboratory for the Research of Musculoskeletal System “Th. Garofalidis”, Medical School, University of Athens, General Hospital of Athens KAT, Athens, Greece

    Kalliopi Lampropoulou-Adamidou M.D., M.Sc., Ph.D. & George Hartofilakidis M.D., F.A.C.S.

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  1. Eustathios Kenanidis M.D., Ph.D., M.Sc.
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  2. Panagiotis Kakoulidis M.D.
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  4. Bülent Atilla M.D.
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  18. E. Michael Keating M.D.
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  22. Ahmad S. Khaled M.B.Ch.B., M.R.C.S.
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  23. Sujith Konan M.B.B.S., M.D.(Res.), F.R.C.S.
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  24. Fares S. Haddad B.Sc., M.D., M.Ch., F.R.C.S.
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  25. Gyula Győrfi M.D.
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  27. Chitranjan S. Ranawat M.D.
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  28. Michael Gaudiani M.D.
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  29. Ibrahim Azboy M.D.
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  30. Antonia F. Chen M.D., M.B.A.
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  31. Richard Rothman M.D., Ph.D.
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  32. Volker Otten M.D.
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  33. Arkan S. Sayed-Noor M.D., Ph.D., F.R.C.S.
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  34. Alberto V. Carli M.D., M.Sc., F.R.C.S.C.
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  35. Lazaros Poultsides M.D., M.Sc., Ph.D.
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  36. Seth A. Jerabek M.D.
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  37. Kalliopi Lampropoulou-Adamidou M.D., M.Sc., Ph.D.
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  38. George Hartofilakidis M.D., F.A.C.S.
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Corresponding authors

Correspondence to Eleftherios Tsiridis M.D., Ph.D., F.A.C.S., F.R.C.S. , Bülent Atilla M.D. , Bülent Atilla M.D. , Goran Bicanic , Goran Bicanic , Stanislav Bondarenko M.D. , Zoltan Csernátony , C. Anderson Engh Jr M.D. , Hiroshi Fujita , John B. Meding , Per Wretenberg M.D., Ph.D. , A. Khaled , Zoltán Csernátony , Michael Gaudiani B.A. , Antonia F. Chen M.D., M.B.A. , Arkan S. Sayed-Noor M.D, Ph.D., F.R.C.S. or Alberto Carli M.D., M.Sc., F.R.C.S.C. .

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Editors and Affiliations

  1. Aristotle University Medical School, Thessaloniki, Greece

    Eleftherios Tsiridis

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Kenanidis, E. et al. (2018). Acetabular Dysplasia. In: Tsiridis, E. (eds) The Adult Hip - Master Case Series and Techniques. Springer, Cham. https://doi.org/10.1007/978-3-319-64177-5_5

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