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Femoral derotational osteotomy
5%
47/986
Total hip arthroplasty
10%
103/986
Arthrodesis
1%
10/986
Surgical dislocation of the hip
9/986
Periacetabular osteotomy
82%
811/986
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The radiograph reveals developmental dysplasia of both hips. The patient has classic anterolateral undercoverage of the femoral head on the right side as demonstrated by a high acetabular index (measured at 27 degrees). Anterior undercoverage can be determined by drawing the marking for the anterior wall that fails to overlap the femoral head in this patient. Currently in North America, the most accepted surgical management for symptomatic dysplasia of the hip with good joint space is a Bernese (Ganz) periacetabular osteotomy. Surgical dislocation of the hip and femoroacetabular osteoplasty may be considered for patients with symptomatic femoroacetabular impingement of the hip.
3.9
(8)
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