Total hip arthroplasty in an adult patient with pelvic dysmorphism, unilateral sacroiliac joint autofusion, and developmental hip dysplasia

Safa C. Fassihi, Danny Lee, Andrew A. Tran, Ryan Lee, Tom Pollard, Monica Stadecker, Seth Stake, Alice J. Hughes, Savyasachi Thakkar

Research output: Contribution to journalArticlepeer-review

Abstract

This case describes the challenges associated with total hip arthroplasty in a patient with unique anatomy, including developmental dysplasia of the hip, pelvic dysmorphism, and unilateral sacroiliac joint autofusion. A 30-year-old female, with a history of developmental dysplasia of the hip treated with presumed pelvic osteotomy complicated by postoperative infection, presented with hip pain refractory to conservative management. Radiographic studies demonstrated a 10-cm leg length discrepancy, 20° of acetabular retroversion, severe hemipelvic dysmorphism, ipsilateral sacroiliac joint autofusion, and significant femoral head dysplasia. Total hip arthroplasty was performed using a revision acetabular component and modular femoral component, resulting in improvement in the postoperative leg length discrepancy. There were no neurovascular or other perioperative complications, and the patient was ambulating without pain or assistive devices at 1-year follow-up.

Original languageEnglish (US)
Pages (from-to)41-47
Number of pages7
JournalArthroplasty Today
Volume6
Issue number1
DOIs
StatePublished - Mar 2020
Externally publishedYes

Keywords

  • Hip dysplasia
  • Pelvic dysmorphism
  • Total hip arthroplasty

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Fingerprint Dive into the research topics of 'Total hip arthroplasty in an adult patient with pelvic dysmorphism, unilateral sacroiliac joint autofusion, and developmental hip dysplasia'. Together they form a unique fingerprint.

Cite this