Archives of Orthopaedic and Trauma Surgery

, Volume 139, Issue 5, pp 723–728 | Cite as

Outcomes in 385 developmental dysplastic hips requiring total hip arthroplasty

  • Lauren J. Seo
  • Jonathan Gabor
  • David Novikov
  • James E. Feng
  • Ran Schwarzkopf
  • Jonathan M. VigdorchikEmail author
Hip Arthroplasty



Patients with developmental dysplasia of the hip (DDH) require special surgical considerations for total hip arthroplasty (THA). Despite the difficulties posed by the population’s anatomical abnormalities, few large evaluations of postoperative outcomes exist. This study seeks to characterize outcomes following primary THA among patients diagnosed with DDH.


A retrospective review was conducted at a tertiary care center on all THA patients between June 2011 and March 2018. Inclusion criteria for this study included any patient diagnosed with DDH undergoing primary THA. Baseline information, operative reports, and postoperative outcomes were pulled from the medical record.


In total, 336 patients (385 hips) undergoing a THA between June 2011 and March 2018 were included. The average age was 52.6 ± 13.0 years and body mass index was 27.8 ± 6.0 kg/m2. Most patients were female (82%). The majority of hips (89%, n = 344) were Crowe type 1, followed by 2 (6.9%, n = 26), 3 (2.6%, n = 10), and 4 (1.3%, n = 5). Most hips were Hartofilakidis Class A (83%, n = 320), followed by Class B (15%, n = 59), then C (1.6%, n = 6). Mean follow-up was 24.8 months. Revision THA was required in 19 (4.9%) cases, with the most common indications being infection (2.1%) and periprosthetic fracture (1.0%). Readmission rates were 1.8% (7 hips) and 2.9% (11 hips) at 30-day and 90-day, respectively. The 30-day and 90-day ED visit rates were 1.3% (5 hips) and 2.1% (8 hips), respectively. No complications were seen following 344 (87%) THAs.


Despite their surgical complexity, DDH patients on average have notably low rates of revision and dislocation. Longer follow-up is needed to better assess outcomes after THA in this complex patient population.


Congenital Developmental Dysplasia Hip Arthroplasty Replacement 



There is no funding source.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

This article does not contain any studies with human participants or animals performed by any of the authors.


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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  • Lauren J. Seo
    • 1
  • Jonathan Gabor
    • 1
  • David Novikov
    • 1
  • James E. Feng
    • 1
  • Ran Schwarzkopf
    • 1
  • Jonathan M. Vigdorchik
    • 1
    Email author
  1. 1.Department of Orthopaedic Surgery, Division of Adult Reconstruction and Joint ReplacementHospital for Special SurgeryNew YorkUSA

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