By Docteur Paul G. J. Maquet (auth.)
Dr. MAQUET, the key disciple of Professor PAUWELS' and the orthopae dic inheritor to the PAUWELS' options of osteotomy of the hip for arthritis, has assembled during this one publication the most powerful and so much lucid modern assertion of the rules and perform of this vitally important college of hip surgical procedure. Professor PAUWELS' contributions to the knowledge of the biomechanics of the hip and to the innovations and execution of osteotomy of the hip for arthritis are remarkable and undying. With readability, Dr. MAQUET articulates this place and refines it extra within the mild of his personal investiga tion. whereas different investigators, after all, fluctuate on person strategies or princi ples during this ebook or disagree with particular positions, assumptions, or conclu sions, it's transparent to all that this booklet is a benchmark paintings. Dr. MAQUET, as Professor PAUWELS regularly did, illustrates his textual content lavishly with attractive examples of person circumstances illuminating the foundations advert vanced. but also, he has long past extra and provides long term follow-up info, quantifying the result of those surgical precepts as skilled in his personal perform. it's a paintings that has been lengthy sought and is richly obtained. Boston, Massachusetts, 1984 WILLIAM H. HARRIS, M.D.
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Additional info for Biomechanics of the Hip: As Applied to Osteoarthritis and Related Conditions
A Load acting along the axis of the column. b Load acting eccentrically but stilI in the core of the column. c Load acting at the limit of the core. d, e Load acting outside the 30 d e core. KK, core; h, lever arm of the load; D, compression; Z, tension. (After PAUWELS 1976) Fig. 33. a Pattern of isostatics in a model stressed as in coxa valga. R, resultant force acting on the hip. b Coxa valga. - b a Fig. 34. a Pattern of isostatics in a model stressed as in a normal hip. R, resultant force acting on the hip.
SCAGLIETTI (1964) ligated all the arteries which he could find about the femoral neck: the anterior and posterior circumflex arteries, the articular branch of the gluteal artery, and the obturator artery. He wanted to reduce hyperaemia, which he regarded as a factor aggravating the condition. Drilling the femoral neck has been suggested by several authors (BOPPE 1936; HERBERT 1950; KIAER 1950), some with the idea of relieving venous stasis. Others have implanted a piece of muscle in a hole drilled in the femoral neck to improve blood supply (VENABLE and STUCK 1956; PALAZZI 1958).
A After open reduction of a congenital dislocation of the hip in a 7-year-old female patient. b After a varus intertrochanteric osteotomy. c Six months later. d Eighteen months after the osteotomy. e Eleven years after the osteotomy. f Fourteen years after a second varus osteotomy 35 a b Fig. 38. a Distribution of the stresses in a model of a ball and socket joint with two interposed layers of shock-absorbing material (top). Normal hip with a subchondral sclerosis ("eyebrow") of uniform width throughout in the roof of the acetabulum (bottom).