Oommen AT. Total hip arthroplasty for sequelae of childhood hip disorders: Current review of management to achieve hip centre restoration. World J Orthop 2024; 15(8): 683-695 [DOI: 10.5312/wjo.v15.i8.683]
Corresponding Author of This Article
Anil Thomas Oommen, DNB, MBBS, MNAMS, MS, Full Professor, Department of Orthopaedics, Christian Medical College Hospital, Scudder Road, Vellore 632004, India. lillyanil@cmcvellore.ac.in
Research Domain of This Article
Orthopedics
Article-Type of This Article
Editorial
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Orthop. Aug 18, 2024; 15(8): 683-695 Published online Aug 18, 2024. doi: 10.5312/wjo.v15.i8.683
Total hip arthroplasty for sequelae of childhood hip disorders: Current review of management to achieve hip centre restoration
Anil Thomas Oommen
Anil Thomas Oommen, Department of Orthopaedics, Christian Medical College Hospital, Vellore 632004, India
Author contributions: Oommen AT manuscript writing, preparation, literature review, Figure preparation.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Anil Thomas Oommen, DNB, MBBS, MNAMS, MS, Full Professor, Department of Orthopaedics, Christian Medical College Hospital, Scudder Road, Vellore 632004, India. lillyanil@cmcvellore.ac.in
Received: December 31, 2023 Revised: June 13, 2024 Accepted: July 5, 2024 Published online: August 18, 2024 Processing time: 225 Days and 22.7 Hours
Core Tip
Core Tip: Total hip arthroplasty for childhood disorders in adulthood requires careful planning and awareness regarding the acetabular and femoral anatomic variations. Preoperative planning must include templating to understand acetabular and femoral sizing, offset, and neck length requirements, while modularity may be needed to address any meta-diaphyseal changes. Small acetabular and femoral components are commonly required in these hips to achieve good fixation. Preoperative assessment of the shortening pattern would help plan for a femoral shortening osteotomy, which may be necessary in patients with high-riding hips. Adequate exposure, extensive soft-tissue release, and restoration of the hip centre, leg length and offset are required to achieve favourable long-term outcomes.
