“Newer Bearing Surface Total hip arthroplasty in Developmental Dysplasia of hip”

Abstract

Introduction –Total hip arthroplasty for Developmental Dysplasia of Hip with secondary arthritis in younger patient is a challenge in itself due to its distorted anatomy. To restore the normal anatomy of hip, achieving length, stability, function and longer survivorship surgical technique and implant plays a major role. One should be careful to complications like sciatic nerve palsy, non-anatomic positioning of implants, shortening etc. Case Presentation – This is a case report and five year follows up of a young female of 34 years age with Neglected Developmental dysplasia of hip confirmed clinically and radiologically. Patient had painful limp, shortening and decrease range of motion resulting into restriction in performance of her daily routine activities. She was treated with Ceramic on Ceramic Modular uncemented total hip replacement and was followed up for 5 years . Conclusion – Restoration of anatomical hip centre with complete containment of acetabular socket, judicious use of cement-less implant and ceramic bearing surface could provide excellent result in a case of secondary arthritis due to congenital dislocation of the hip (Crowe type IV) in a young and active patient. KeywordsDelta, Ceramic on ceramic bearing, Developmental dysplasia of hip, Congenital dislocation of hip.