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10 9 8 7 6 5 4 3 2 1 The osteoarthritis of the hip is divided in the prevention and the management of the pathology. In prevention we can diagnose the pathology that may develops in O A in future and treat that. The three principales that we talk before are the D D H, the femoral acetabular impingement and epiphysiolisis. The first step to treating developmental dysplasia of the hip (D D H) is to form a complete and accurate diagnosis. The doctor will take your child’s history, including the position of the baby during pregnancy and the family history, including any hip problems.  The doctor will also do a physical exam and can often feel the ball popping in and out of the socket. The exam may include diagnostic tests to get detailed images of your child’s hip joint, including an ultrasound of the hip or an x-ray. If the patology is at the beginning the doctor may reccomend in the newborn the use of braces and checks the evolution or the resolution of the patology. The surgical therapy are important to correct the deformity and prevent an anatomical develop of the hip. A periacetabular, or Ganz, osteotomy is the most common and effective surgery for adolescents and adults with developmental hip dysplasia. In this procedure, the surgeon makes an incision in the front of the hip to reach the joint, cutting into the pelvic bone to free the hip socket from the pelvis. The surgeon then rotates the socket so that it aligns properly with the ball at the top of the thigh bone. Metal plates and screws are used to hold the socket in place. Another approach, called femoral osteotomy, may be used to realign the thigh bone within the socket in adolescents and adults with limited hip mobility due to developmental hip dysplasia. During this procedure, the surgeon cuts and changes the angle of the thigh bone. I nternal pins and plates may be used to hold bones in place as they heal but are usually removed after several months. In the last 15 years it has emerged that possibly the most important risk factor for hip O A development is abnormal hip joint morphology, particularly in the form of FAI. It is important to note that joint-preserving surgery should be pursued before the onset of hip O A or early in the disease course, as emerging evidence suggests these patients obtain much greater benefit from the procedure than those with advanced hip O A. The surgery is arthroscopic and the target is to smooth and correct the irregular bone. The treatment for slippage of the proximal femoral epiphysis consists primarily of preventing progression of the slippage, thereby avoiding greater deformation and complications caused by its progression, while remodeling of the femoral neck takes place. Late treatment is reserved for cases in which deformation consisting of retroversion of the femoral neck causes symptoms (pain, diminished range of motion or gait difficulties). Such situations are related to anterior femoroacetabular impact, which gives rise to early development of osteoarthritis. Osteotomy of the proximal femur has the aim of correcting deformation of the growth plate. Although it would seem logical to correct the deformation at the specific site, corrective osteotomy in this region is generally associated with high complication rates, especially involving avascular necrosis. A three-plane subtrochanteric osteotomy is a good choice for correcting deformation of the femoral neck because it avoids this region, which is commonly associated with complications. Instead, it is performed at a lower level, at which compensatory deformation in flexion, valgus and internal rotation of the subtrochanteric level is provoked.