This 2010 narrative review by Karachalios and Hartofilakidis synthesizes the authors' classification system for congenital hip disease in adults and provides a practical framework for pre-operative planning and surgical technique selection for total hip arthroplasty. It addresses terminology disputes, describes the anatomical basis of each disease type, and compares reconstruction strategies for acetabular deficiency.
When planning THA for congenital hip disease, use the Hartofilakidis type to anticipate which specific acetabular defects you will encounter: dysplasia means a shallow cup with a superior segmental defect; low dislocation adds an anterior defect and narrow opening; high dislocation presents a triangular hypoplastic acetabulum with a rim defect all around.
The intra-operative 80% host-bone coverage threshold is the decision point between an uncemented cup and cotyloplasty — knowing it before you scrub changes your implant setup.
This 2010 narrative review by Karachalios and Hartofilakidis synthesizes the authors' classification system for congenital hip disease in adults and provides a practical framework for pre-operative planning and surgical technique selection for total hip arthroplasty. It addresses terminology disputes, describes the anatomical basis of each disease type, and compares reconstruction strategies for acetabular deficiency.
When planning THA for congenital hip disease, use the Hartofilakidis type to anticipate which specific acetabular defects you will encounter: dysplasia means a shallow cup with a superior segmental defect; low dislocation adds an anterior defect and narrow opening; high dislocation presents a triangular hypoplastic acetabulum with a rim defect all around.
The intra-operative 80% host-bone coverage threshold is the decision point between an uncemented cup and cotyloplasty — knowing it before you scrub changes your implant setup.