先天性髋关节脱位髋关节置换.pptVIP

THA FOR DEVELOPMENTAL HIP DYSPLASIA Daniel J. Berry, MD Mayo ClinicRochester, MN, USA THA FOR DYSPLASIA Problem to Overcome on Acetabulum Problem: Lateral acetabular bone deficiency of varying severity THA FOR DYSPLASIA/LOW DDH ACETABULAR RECONSTRUCTION THA FOR DYSPLASIA/LOW DDH Acetabular Reconstruction General Principles: Uncemented socket Optimize cup stability on host bone Don’t let bone deficiency dictate cup position THA FOR DYSPLASIA/LOW DDH Acetabular Reconstruction Key Point: Use supplemental screws Avoid pressfit fixation alone without screws in deficient acetabulum THA FOR DYS