Arthroplasty in Developmental Dysplasia of the Hip

Developmental dysplasia of the hip is a common cause of hip osteoarthritis. Although there have been many advances in surgical techniques of hip joint preservation, once symptomatic degenerative changes are present, arthroplasty or reconstructive procedures remain the main avenues of management. Arthroplasty in this group presents many significant reconstructive challenges in addition to concerns regarding implant survivorship in what is a typically relatively young cohort. In this article we review the many technical aspects of acetabular and femoral reconstruction and the outcomes and potential complications associated with arthroplasty in this group. Despite the complex nature of this surgery, appropriate techniques and implants are associated with excellent symptomatic relief and improved quality of life with acceptable survivorship for these patients.