Adolescent and Young Adult Hip Dysplasia

David D. Spence, Derek M. Kelly, Marc J. Mihalko and James L. Guyton


Curr Orthop Pract. 2013;24(6):567-575. 

In This Article


In adolescents or young adults with moderate or severe hip dysplasia, treatment generally is surgical with the goal of restoring proper hip biomechanics and joint stability to ultimately delay the onset of osteoarthritis. The Bernese periacetabular osteotomy is one of the most frequently used osteotomy procedures for dysplastic hips in skeletally mature patients and has been shown to maintain a native hip for many years.[19] However, patients over 35 year of age who have advanced hip arthritis, joint incongruity, and a low Merle d'Aubigne and Postel score or dGEMRIC index are less likely to benefit and will require total hip arthroplasty.