Developmental dysplasia of the hip ( DDH ) in adolescence often has no obvious symptoms, and is dififcult to be found until the secondary osteoarthritis. At the early stage, patients always can’t get appropriate diagnosis and treatment, and arthroplasty is always the last choice in the end stage of osteoarthritis. This article gives 3 pieces of advice for the clinic: ( 1 ) Doctors’ and patients’ understanding of DDH should be improved to ensure the in time DDH treatment, and to delay or avoid the occurrence of hip osteoarthritis. ( 2 ) Surgical indications of hip preserving treatment and replacement of the total hip should be controlled strictly, and individualized schedule should be made for appropriate treatment. ( 3 ) Training of surgeons should be emphasized, treatment process should be standardized, and surgeon qualiifcation system needs to be set up to make the surgical procedures more programmed and detailed, minimizing the surgical failures and improving the prognosis.

作者：赵德伟

来源：中国骨与关节杂志 2016 年 5卷 7期