Total Hip Arthroplasty for Adult Hip Dysplasia
Benedict A. Rogers, MA, MSc, DipSEM, FRCS(Orth); Shawn Garbedian, MD, FRCSC; Raul A. Kuchinad, MD, FRCSC; David Backstein, MD, FRCSC; Oleg Safir, MD, FRCSC; Allan E. Gross, MD, FRCSC

Abstract

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.

Footnotes

  • Investigation performed at the Division of Orthopaedic Surgery, Mount Sinai Hospital, Toronto, Ontario, Canada

  • Disclosure: None of the authors received payments or services, either directly or indirectly (i.e., via his or her institution), from a third party in support of any aspect of this work. One or more of the authors, or his or her institution, has had a financial relationship, in the thirty-six months prior to submission of this work, with an entity in the biomedical arena that could be perceived to influence or have the potential to influence what is written in this work. No author has had any other relationships, or has engaged in any other activities, that could be perceived to influence or have the potential to influence what is written in this work. The complete Disclosures of Potential Conflicts of Interest submitted by authors are always provided with the online version of the article.


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