A 23-year-old female presented with pain in the left hip. Radiological examination showed developmental dysplasia of the hip (DDH) combined with acetabular retroversion and posterior wall deficiency. Findings in the physical examination were coincident with femoroacetabular impingement. At surgery, we performed curved periacetabular osteotomy concomitant with arthroscopic labral repair and osteochondroplasty, simultaneously addressing dysplastic acetabulum and femoroacetabular impingement. The final follow-up examination at 18 months showed satisfactory outcome with the D'Aubigne and Postel hip score of 17/18. In addition to accurate diagnosis, the arthroscopic procedure for associated intra- and peri-articular problems seems to help improve the surgical outcome of periacetabular osteotomy performed for patients with DDH.

译文

:一位23岁的女性左臀部疼痛。影像学检查显示髋关节发育不良(DDH)合并髋臼逆行和后壁缺乏。体格检查的结果与股骨髋臼撞击相吻合。在手术中,我们进行了髋臼弯曲截骨术,同时进行了关节镜下唇修复和骨软骨置换术,同时解决了髋臼发育不良和股骨髋臼撞击。在18个月时进行的最终随访检查显示,D'Aubigne和Postel髋关节评分为17/18,结果令人满意。除了准确的诊断外,关节镜检查可解决相关的关节内和关节周围问题,似乎有助于改善DDH患者髋臼周围截骨术的手术效果。

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