Introduction:

Developmental dysplasia of the hip (DDH) is the cause of 2.6-9.1% of all total hip prostheses implanted at any age and constitutes a challenge in revision surgeries.

Objective:

To present a case of severe acetabular dysplasia managed by the Stoppa-type approach.

The Case:

We report a case of a 26-year-old male patient with DDH initially treated with total hip replacement and then diagnosed with aseptic loosening (Paprosky 3A). Using a modified Stoppa approach; acetabular augmentation and bone autograft attached with endopelvic reconstruction plates were performed. Two years after the procedure our patient is asymptomatic, has no restrictions on his daily living activities, and is very satisfied with the result.

Conclusions:

The Stoppa approach was very useful for the endopelvic reconstruction of the acetabular roof, so it may be an option to treat severe acetabular defects. Level of evidence: IV.

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