In the last 10 years, total prosthetic replacement has become the
hip oper ation for many but not all surgeons. In our clinic the
increasing frequency of TP has been paralleled by a reduction in
the frequency of 10 and HA. For the experienced orthopaedic surgeon
and hip surgeon, hip disease has so many facets that it could not
possibly be tackled with one operation alone. Thus, HA seems
recently to have won renewed recognition. It has once more become
the procedure of choice in specific cases, possibly because of
certain disadvantages and complications associated with TP which
have somewhat tempered the original optimism. Currently, the risk
of infection or loosening of the pros thesis is such that the
operation cannot justifiably be recommended for patients under
55-60 years of age. In contrast with HA, in the majority of cases
the results of TP or 10 are not fully predictable. The loss of
joint motion is offset by two important advantages: -complete
freedom from pain - full weight bearing is possible on the
arthrodesed hip. On following up our HA operations from 1961 to
1971, we examined the development of the operative procedures in
our clinic. We found that the range of indications had narrowed as
stricter criteria were applied in choosing patients for operation.
Adequate and precise operative tech niques were developed. We
studied the biomechanics of the hip joint exten sively (effect of
arthrodesis on the statics and dynamics of the hip joint and
neighbouring joints).
General
Imprint: |
Springer-Verlag
|
Country of origin: |
Germany |
Release date: |
2012 |
First published: |
1978 |
Editors: |
P.A. Casey
|
Foreword by: |
M. F. Muller
|
Authors: |
R. Liechti
|
Foreword by: |
B. G Weber
|
Dimensions: |
280 x 210 x 15mm (L x W x T) |
Format: |
Paperback
|
Pages: |
272 |
Edition: |
Softcover reprint of the original 1st ed. 1978 |
ISBN-13: |
978-3-642-66875-3 |
Categories: |
Books >
Medicine >
Surgery >
General
|
LSN: |
3-642-66875-5 |
Barcode: |
9783642668753 |
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