The evolution of hip dysplasia depends on its severity, the level of physical activity of the patient and the body structure. Too much exercise, particularly with impact and overweight can be aggravating factors.
When there are symptoms and the cartilage is not yet degraded, even if there are some mild changes it is possible to perform surgery to correct the dysplasia and place the load area of the acetabulum ceiling (hat) centered on the head. This requires cutting the bone around the acetabulum in order to redirect its position within the space (fig.1) (see section "Bernese" Periacetabular Osteotomy). This surgery is complex and must be performed only in reference medical centers and by surgeons who are experienced specialized in conservative surgery of hip. It should preferably be performed in patients under 50 years of age.
If degenerative changes are far advanced the best option is hip replacement using prosthesis (see sections "What solution if you are unable to preserve your hip?" e "Prosthetic reconstructive surgery" )
Fig.1: displasia acetabular bilateral num doente com 28 anos corrigida com osteotomias
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