Setting out from the premise that “a picture is worth more than a thousand words”, this book presents a superb set of illustrations, with accompanying clinical data, relating to a series of cases from a single surgeon registry. The series has the benefit of offering exceptionally homogeneous data from patients who have undergone total hip replacement (THR) and have been subjected to long-term follow-up with repeated acquisition of radiographs. This THR registry was established at the time when the Orthopaedic Department of the University of Athens became one of the first centers in Greece to perform THR. It now offers a huge database of unparalleled interest that includes approximately 1000 THRs performed by one of the authors (G. Hartofilakidis) between 1973 and 1994, with subsequent continuous follow-up. The cases with series of preoperative radiographs are of special interest, as they indicate the natural history of different types of hip disorders. In some cases of congenital hip disease, previous radiographs dating back to early childhood are available. Key messages and lessons learned are clearly spelled out. The book will be of high value for all orthopaedic surgeons who are interested in hip reconstruction surgery.
Congenital hip disease (CHD) is the main cause of secondary osteoarthritis (OA) of the hip in young adults, which accounts for almost 40% of all cases of hip OA. Total hip replacement (THR) performed using optimal techniques can achieve a radical improvement in the quality of life of adult patients. This book offers in-depth coverage of all aspects of CHD in adults and its treatment. Relevant information is first provided on the basic anatomy of the hip and OA of the hip and on the classification, epidemiology, and natural history of CHD. The now limited role of femoral and pelvic osteotomies is carefully evaluated, and the use of THR is then considered in detail. Indications and preoperative planning are discussed, and the available operative techniques, analyzed. Clear guidance is provided on overcoming major technical difficulties, and the benefits of particular approaches and techniques are highlighted. More than 180 images and numerous case studies complement this reader-friendly text. The book will be an invaluable tool for orthopedic surgeons, rheumatologists and radiologists.
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