[Acetabular component implantation in coxarthrosis due to dysplasia after high congenital hip dislocation]

A total of 71 (25-110) months after primary total hip replacement, 17 patients with high congenital hip dislocation and false iliac acetabulum were clinically and radiologically assessed. Twenty-one threaded cups were placed, 16 at the site of the true acetabulum, one at the site of the acetabular rim and four at the site of the false acetabulum. The Harris hip score increased from 37.1 (20.2-55.5) points preoperatively to 84.7 (67.4-97.7) points postoperatively. Radiologically there were no signs of cup migration. It can be concluded that even complicated dysplastic hips can be treated successfully by total hip replacement, without prior ileofemoral distraction or additional acetabular augmentation.