Iranian Journal of Medical Sciences
Iranian Journal of Medical Sciences

Bilateral Staged Total Hip Replacement and the Natural Progress of an Untreated Case of Developmental Dysplasia (Dislocation) of the Hip: A Clinical Case Report by the Surgeon and the Patient

Document Type : Case Report(s)

Authors

Hamid Honarpisheh 1
Mohammad Taghi Ghazavi 2

1 Iranian Medical Science Councils Secretariat, Deputy of Education, Ministry of Health and Medical Education, Tehran, Iran

2 Orthopedic Surgery, Shafa Orthopedic Hospital, Iran University of Medical Science, Tehran, Iran

Abstract
The natural history of an untreated case of a Developmental Dysplasia (Dislocation) of the Hip (DDH) associated with multiple congenital abnormalities is reported in a 55-years-old man. The patient’s complaints and the varieties of the typical manifestations emerged in other parts of the body throughout the life are reviewed and discussed as comorbidities of a dysplastic condition. Two-stage bilateral total hip replacement (THR) operations were performed at the age of 55. In addition, to relieve the pain, the walking disabilities were overcome, hence gaining normal walking in swing and stances. The leg length discrepancy was corrected by anatomically positioned prostheses, examined by the knee bending test and characterized and evidenced by radiological features and indices.

Keywords

Hip dysplasia
Total hip replacement
Comorbidity
Developmental dysplasia of the hip

  • Received 07 June 2015
  • Revised 22 August 2020
  • Accepted 24 December 2018

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