Early Results of Total Hip Arthroplasty in Patients With Developmental Dysplasia of the Hip Compared With Patients With Osteoarthritis

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Abstract

We have investigated the results of primary total hip arthroplasty (THA) performed in patients with developmental dysplasia of the hip (DDH). Through the New Zealand Joint Registry, we identified all patients with DDH undergoing primary THA (n = 1205) and all patients with primary osteoarthritis (OA) undergoing primary THA (n = 40 589) between January 1, 1999, and December 31, 2008. Postoperative outcomes, baseline information, and operative characteristics were analyzed and compared between the DDH and the OA groups. There was no significant difference in Oxford Hip Score or revision rate between the 2 groups. Our results support THA as a successful surgical option in the management of degenerative arthritis in DDH, with comparable functional outcomes and revision rates to THA performed for primary OA.

Section snippets

Materials and Methods

After institutional review board approval, data covering the period of January 1, 1999, to December 31, 2008, were obtained from the New Zealand National Joint Registry. Registry records of all patients who underwent primary THA during this time with the principal diagnosis recorded as DDH were analyzed. A reference group was generated from registry data including all patients who underwent primary THA during the study period with the principal diagnosis recorded as OA.

The DDH group was

Results

We identified 1205 primary THAs with the principal diagnosis of DDH and 40 589 primary THAs with the principal diagnosis of OA from New Zealand National Joint Registry records covering the 10-year study period.

Discussion

In this nationwide registry-based cohort study of 1205 patients with DDH undergoing primary THA, we found no difference in functional outcome and revision rate to a comparison population of 40 589 patients with OA undergoing primary THA. To our knowledge, this study reports the largest comparative series of THA in patients with DDH with functional postoperative outcome data. Previous large studies 8, 11 have been published, although these do not report functional outcome data.

Acknowledgments

The authors thank Mrs Toni Hobbs and the staff of the New Zealand Joint Registry for their kind assistance.

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The Conflict of Interest statement associated with this article can be found at doi:10.1016/j.arth.2011.06.024.

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