Management of hip dysplasia in adults: A review and the Wrightington philosophy.

Managing the adult dysplastic hip with osteoarthritis is challenging. Adult dysplastic hips have altered bony and soft tissue anatomy. Management strategy depends upon the severity of the dysplasia as assessed using various prevalent classification systems. Differing surgical philosophies have been put forward to address this complex scenario. We describe the management of arthritis after adult developmental dysplasia or the hip using principles and techniques developed and described at our centre.