By Docteur Paul G. J. Maquet (auth.)
Dr. MAQUET, the most important disciple of Professor PAUWELS' and the orthopae dic inheritor to the PAUWELS' thoughts of osteotomy of the hip for arthritis, has assembled during this one publication the most powerful and so much lucid modern assertion of the foundations and perform of this extremely important tuition of hip surgical procedure. Professor PAUWELS' contributions to the knowledge of the biomechanics of the hip and to the recommendations and execution of osteotomy of the hip for arthritis are impressive and undying. With readability, Dr. MAQUET articulates this place and refines it additional within the mild of his personal investiga tion. whereas different investigators, after all, vary on person innovations or princi ples during this e-book or disagree with particular positions, assumptions, or conclu sions, it really is transparent to all that this publication is a benchmark paintings. Dr. MAQUET, as Professor PAUWELS consistently did, illustrates his textual content lavishly with appealing examples of person situations illuminating the rules 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 got. Boston, Massachusetts, 1984 WILLIAM H. HARRIS, M.D.
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Additional resources for Biomechanics of the Hip: As Applied to Osteoarthritis and Related Conditions
All these procedures fell into disrepute as a consequence of their unpredictable or short-lived results. Recently, good results have been claimed following injection of extracts of cartilage into the affected joint. Improvements were observed mainly in cases in which the articular surfaces had remained congruent and in which there was no sign of overpressure. However, the follow-up is as yet short. Even if the resistance of the tissues could be restored to normal, this would probably be insufficient in most cases, since the evolution of the condition often leads to an increase in the mechanical stressing of the joint.
41 c). The dense triangle at the edge of the acetabulum can be observed in congenital subluxation of the hip (Fig. 41 b, c). It can also result from a lateral displacement of the resultant force R, the consequence of a progressive subluxation of the femoral head being pushed laterally by a medial osteophyte (Fig. 42). This was shown by PAUWELS (1973a). In these circumstances, the contact surface of the c 39 Fig. 42. Progressive displacement of the centre of the initial femoral head laterally, with consequent lateral displacement of the resultant force R.
Two years later, two bundles of trabeculae had developed in the femoral neck, surrounding a more translucent area (Fig. 36 b). This represents the typical architecture in bone subjected to bending stress. 33 a b c Fig. 37a-c A 7-year-old female patient had undergone an open reduction of a congenitally dislocated hip (Fig. 37 a): the structure of the femoral neck looked uniform. She underwent a varus osteotomy (Fig. 37b). Six months later two bundles of trabeculae surrounding a more translucent area were observed in the femoral neck (Fig.
Biomechanics of the Hip: As Applied to Osteoarthritis and Related Conditions by Docteur Paul G. J. Maquet (auth.)