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Updated: Jun 2, 2026
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Individualized Stem-positioning in Calcar-guided Short-stem Total Hip Arthroplasty
Published on: February 27, 2018
[Total hip replacement in developmental dysplasia: anatomical features and technical pitfalls]
B M Holzapfel1, D Bürklein, F Greimel
1Orthopädische Klinik König-Ludwig-Haus, Julius-Maximilians-Universität Würzburg, Brettreichstr. 11, 97074 Würzburg, Deutschland. holzapfel_b@chirurgie.uni-wuerzburg.de
Der Orthopade
|May 13, 2011
Summary
Total hip arthroplasty (THA) in hip dysplasia presents unique challenges due to anatomical abnormalities and patient age. Cementless fixation and precise acetabular reconstruction are key for successful long-term outcomes in these complex cases.
Area of Science:
- Orthopedic Surgery
- Biomedical Engineering
- Reconstructive Surgery
Context:
- Congenital hip dysplasia often necessitates total hip arthroplasty (THA) in younger patients.
- Anatomical abnormalities in hip dysplasia increase surgical complexity and may impact implant longevity.
- Reconstructing the native center of rotation is crucial for biomechanical restoration.
Purpose:
- To discuss endoprosthetic reconstructive options for developmental hip dysplasia.
- To outline strategies for acetabular reconstruction and femoral restoration.
- To highlight considerations for achieving stable socket fixation and appropriate leg length.
Summary:
- THA for hip dysplasia requires addressing acetabular deficiencies (e.g., using grafts or reinforcement rings) and optimizing socket placement.
- Cementless biological fixation demonstrates superior long-term results over cemented cups in young THA patients.
- Femoral reconstruction, potentially including shortening, is influenced by acetabular position and leg length goals.
Impact:
- Optimizing THA techniques in hip dysplasia can improve implant survival rates in young, active individuals.
- Accurate biomechanical reconstruction enhances functional outcomes and patient quality of life.
- This review provides a framework for surgical decision-making in complex hip dysplasia cases.
