The treatment of the XXXX hip in @entity306 by total hip replacement or hip arthrodesis.

@entity1 @entity4094 @entity306 @entity572 @entity158 @entity2096 @entity1516
The @entity158 dislocated or subluxated hip in the @entity1 with @entity306 presents a difficult problem in management. Twenty-three @entity1 with @entity306 who had a @entity158 subluxated or dislocated hip with degenerative changes were operated on at The Hospital for Special Surgery. Eight @entity1 had a unilateral hip arthrodesis. Six had a successful arthrodesis initially, resulting in relief of @entity158 and return to the preoperative functional level. A @entity1516 developed in two @entity1 , but both had successful revision surgery, one by a second arthrodesis and the other by a total hip replacement. Thirteen of the fifteen @entity1 with a total hip replacement were @entity158 -free and functioning at a level consistent with their over-all involvement. One @entity1 had migration of the greater trochanter and slight bending of the femoral component, with persistent @entity158 . A second @entity1 had progressive @entity2096 over a period of seven years, but continued to walk with minimum @entity158 . Two @entity1 had a recurrent dislocation, one requiring revision of the femoral component and the other, of the acetabular component. We think that the presence of @entity306 , even in the @entity1 with severe involvement, is not a contraindication for either a hip arthrodesis or a total hip replacement for a @entity158 deformed or degenerated hip. These @entity1 should be treated for the @entity158 in the hip, and the presence of the underlying @entity4094 should not deter the appropriate treatment. For unilateral @entity572 in @entity1 who are unable to walk and in young, active @entity1 , we recommend hip fusion.(ABSTRACT TRUNCATED AT 250 WORDS)
