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Abstract：
Developmental dysplasia of the hip (DDH) is a spectrum of pathology that involves dysplasia of both the acetabulum and the femur. If left untreated, it can develop to hip pain and osteoarthritis, which eventually require total hip arthroplasty (THA). A broad array of anatomical abnormalities of the acetabulum and femur, plus the younger age of DDH patients make THA a great challenge. Meticulous operation planning with various options is one of the most important prerequisites of a successful THA. This review presents the current concepts of acetabular and femoral reconstruction in THA for DDH, including high hip center, acetabular bone deficiency, highly porous metal, correction of femoral anteversion, femoral shortening osteotomy, stem selection, among others.
摘要：
髋关节发育不良（DDH）是一系列病理，涉及髋臼和股骨的发育不良。如果不及时治疗，它可以发展为髋部疼痛和骨关节炎，最终需要全髋关节置换术（THA）。广泛的髋臼和股骨的解剖异常，再加上DDH患者的年龄较小，使THA成为一个巨大的挑战。精心的运营计划和各种选择是成功的THA最重要的先决条件之一。这篇综述介绍了THA治疗DDH的髋臼和股骨重建的最新概念。包括高臀部中心，髋臼骨缺损，高度多孔的金属，股骨前倾矫正,股骨短缩截骨术，茎选择,在其他人中。
