Fig. 3.

Radiographs of a girl with residual dysplasia and Spitzy operation: (a) primary radiograph at an age of 1.8 years shows dislocation of the right hip; (b) radiograph at the age of 16.6 years showing residual dysplasia and subluxation of the right hip. Spitzy operation was performed one year later; (c) radiograph at the age of 33 years, 16 years after Spitzy procedure, showing good femoral head coverage and no osteoarthritis. Bilateral varus and derotating femoral osteotomies had been performed one year prior to Spitzy procedure; (d) radiograph at an age of 58 years, 40 years after Spitzy procedure, showing osteoarthritis of the right hip; (e) radiograph at an age of 58 years, three months after total hip arthroplasty.