The evidence is convergent. Multiple independent sources reach the same conclusion, the underlying mechanism is well-characterized, and even the field's most cautious voices treat it as worth doing.
if you have a dysplastic hip um you are going to get arthritis now it doesn't mean it's going to be symptomatic necessarily it doesn't mean you're going to need a hip replacement but people who have dysplastic hips that is an acetabulum that did not form properly are going to get arthritis it's a mechanical problem where the force are unevenly distributed across that ball and there's Edge loading and that will break down over time no matter what you do
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for example if the ball is shifted out of the socket let's say due to positioning in utero where it's not completely uh in the acetabulum will not form correctly what that means is is that after birth if the if it's sitting outward this deep socket will not form and it'll be quite shallow that has major implications later in life because if it's not deep in the socket it's sitting on the edge of the socket which means there's greater pressure here and that pressure can lead to Mechanical overload in arthritis
if you have a dysplastic hip you are going to get arthritis now it doesn't mean it's going to be symptomatic necessarily it doesn't mean you're going to need a hip replacement but people who have dysplastic hips that is an acetabulum that did not form properly are going to get arthritis it's a mechanical problem where the forces are unevenly distributed across that ball and there's Edge loading and that will break down over time no matter what you do
for example if the ball is shifted out of the socket let's say due to positioning in utero where it's not completely in the acetabulum will not formed correctly what that means is is that after birth if the if it's sitting outward this deep socket will not form and it'll be quite shallow that has major implications later in life because if it's not deep in the socket it's sitting on the edge of the socket which means there's greater pressure here and that pressure can lead to Mechanical overload and arthritis
think about the hip we talked about where it's Edge loading in the developmental dysplasia right it's not congruent that's who gets the arthritis the the patient with the bump on the side the acetabular impingement they get arthritis