By M. Sofue, N. Endo

ISBN-10: 4431381988

ISBN-13: 9784431381983

ISBN-10: 4431382003

ISBN-13: 9784431382003

The start line for the remedy of hip sickness is dependent upon how we will defend the traditional hip joint and on steps resulting in regeneration of the diseased, injured, or destroyed joint. maintenance and regeneration remedies following conventional and theoretical equipment shouldn't have to exploit dear fabrics comparable to the synthetic joints utilized in arthroplasty. nevertheless, those remedies are tricky to accomplish and require an extended rehabilitation interval. the outcome has been a circulate clear of conventional equipment, denying the doctor adventure and data of the advantages linked to the main biologically acceptable remedy. This e-book, a range of the papers awarded on the thirty second eastern Hip Society (JHS) Congress, comprises the newest wisdom on maintenance and regeneration remedies in addition to arthroplasty, and is a useful resource of reference for all who paintings within the box of orthopedic surgical procedure.

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Intertrochanteric osteotomy in the Imhäuser treatment system is considered a useful procedure because it is relatively simple in technique and involves no development of avascular necrosis of the femoral head. As Schai et al. [16] reported that results of treatment with the Imhäuser method were superior to those by other procedures but entailed development of arthrosis in 45% of cases, it seems that matters relating to treatment of this disorder are yet to be resolved. Indeed, there are problems peculiar to this treatment method that remain to be solved, as has been disclosed by the present study; further long-term follow-up for treated joints is needed.

Statistical analysis of the data was performed by the Mann–Whitney U test and the Fisher’s exact probability test. 05 were considered significant. Results The result was excellent in 10 hips, good in 20, fair in 6 hips, and poor in 4. Overall, 30 (75%) of the 40 hips showed good or excellent results (Figs. 3, 4). Three hips needed total hip arthroplasty and 1 hip needed hemiprosthetic arthroplasty. The JOA hip score increased from a preoperative average of 71 points (range, 28–78 points) to 85 points (range, 50–100 points) at the most recent follow-up.

A patient who complained of coxalgia was noted to have arthrotic changes. A reoperation was performed on a patient who incurred breakage of a plate postoperatively and two patients who had postoperative loosening and rotation of a plate because of bone fragility. Four patients suffered a fracture intra- or postoperatively (Fig. 6). 44 S. Mitani et al. Discussion The aim of treatment of slipped capital femoral epiphysis is to stabilize the slipping region, improve congruity of the hip joint, and maintain hip joint function through life without causing any complication.

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Treatment of Osteoarthritic Change in the Hip: Joint Preservation or Joint Replacement? by M. Sofue, N. Endo


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