Total hip arthroplasty for sequelae of childhood hip disorders: Current review of management to achieve hip centre restoration

Figure 14  Man aged 39 years with left hip childhood arthritis sequelae. A: Postseptic sequelae with small femur, pelvis and soft tissue changes. The acetabulum and proximal femur (arrows) need proper identification to restore the anatomical centre; B: Follow-up. Identifying the true acetabulum, small acetabular size, soft tissue release, femoral shortening, modular femur, hip centre restoration, neck length and offset requirements are challenging in these cases. This can be achieved with proper preoperative planning and intraoperative assessment.