Total Hip Arthroplasty After Pelvic Osteotomy for Acetabular Dysplasia: A Systematic Review

Total Hip Arthroplasty After Pelvic Osteotomy for Acetabular Dysplasia: A Systematic Review

Authors

Shapira J, Annin S, Rosinsky PJ, Maldonado DR, Lall AC, Domb BG
DOI: 10.1016/j.jor.2021.04.001

Background

Acetabular dysplasia is a condition where the hip socket is too shallow, leading to joint instability. A pelvic osteotomy (PO) is a procedure used to correct this, but it may complicate future surgeries like total hip arthroplasty (THA).

Methods

The study reviewed multiple studies comparing patients who underwent THA after PO to those who had THA without prior PO. It focused on complications and outcomes following a secondary THA after PO.

Key Findings

The study found that THA after PO often involved challenges like increased blood loss, inconsistent cup positioning, and lower patient-reported outcomes (PROs). The most common complication after PO failure was hip dislocation.

Conclusions

While THA can still be successful after PO, it may involve more complications and lower success rates compared to THA without prior PO.

What Does This Mean for Patients

If you've had pelvic osteotomy and are considering a total hip replacement, be aware that it may come with additional risks, including complications like dislocations and more blood loss during surgery.