Hip Surgeries

Hip surgery became a benchmark for large joint surgery development. Surgical techniques for the treatment of degenerative, developmental, and traumatic hip pathologies became a challenge, aiming to restore the patients' ambulation in otherwise disabling pathological conditions of the hip joint. In this book the authors present an overview of the pathological basis of the diseased hip and the currently available surgical solutions that provide long-term relief using a reconstructing surgical approach.The book aims to expose young orthopedic surgeons to exciting and continuously developing information on hip surgery, and experienced colleagues will benefit from concise information that might be beneficial in routine surgical activity.

This book is published open access under a CC BY 4.0 license. White Paper on Joint Replacement This White Paper details the status of hip and knee arthroplasty care in Germany. Hip and knee replacements are amongst the most frequently performed procedures and usually become necessarily due to age-related wear of the joint, osteoarthritis and fractures of the femoral neck. In light of demographic change, demands with regard to standards of care and the procedures are likely to rise. Contents • This White Paper contains information on indications, procedures, health economic aspects and the healthcare system stakeholders involved. • It portrays current developments with regard to the prevalence of hip and knee arthroplasty, the healthcare situation and quality of care within the chain of medical care. • This book is complemented by a chapter assessing the current situation from an expert perspective with contributions from renowned experts in the fields of science, medical technology and medical practice. This book addresses people involved in shaping and representing the healthcare system from a variety of fields including medical professions, health insurances and health sciences as well as journalists and patient representatives.

The incidence of total hip arthroplasty is increasing in number because of successful outcomes. Although technically challenging, once mastered a hip replacement is one of the most gratifying surgeries for both patient and surgeon. This book covers some of the most important aspects of hip replacement surgery. These include preoperative planning, anesthesia, classification systems, management of proximal femur fractures, anterior approach, complications, and rehabilitation aspects of hip arthroplasty. The book is intended for arthroplasty surgeons, anesthetists, and physical therapists who will find the book useful in parts and as a whole if they deal with arthroplasty cases on a regular basis. Experience-based narration of various subjects by authors ensures that first-hand experience is passed on to readers in a simple, easy-to-understand manner.

Offering authoritative, comprehensive coverage of hip surgery, the 2nd Edition of Surgery of the Hip is the definitive guide to hip replacement, other open and arthroscopic surgical procedures, and surgical and nonsurgical management of the hip across the lifespan. Modeled after Insall & Scott Surgery of the Knee, it keeps you fully up to date with the latest research, techniques, tools, and implants, enabling you to offer both adults and children the best possible outcomes. Detailed guidance from expert surgeons assists you with your toughest clinical challenges, including total hip arthroplasty, pediatric hip surgery, trauma, and hip tumor surgery. Discusses new topics such as direct anterior approach for total hip arthroplasty, hip pain in the young adult, and hip preservation surgery. Contains new coverage of minimally invasive procedures, bearing surface selection, management of complications associated with metal and metal bearing surfaces, management of bone loss associated with revision THA, and more. Provides expert, personal advice in "Author’s Preferred Technique" sections. Helps you make optimal use of the latest imaging techniques, surgical procedures, equipment, and implants available. Covers tumors of the hip, hip instability and displacement in infants and young children, traumatic injuries, degenerative joint disorders, and rehabilitation considerations—all from both a basic science and practical clinical perspective.

When dozens of holes appeared in a patient's femur alongside his hip prosthesis, experts were baffled as such a phenomenon had never been seen before. Over the first four decades of total hip surgery, the severe bone destruction multiplied, crippling many thousands of patients. Eventually identified as periprosthetic osteolysis, this devastating disease affected over 1 million patients and was the leading cause of failure in total hip surgery. While total hip surgery dramatically reversed severe arthritis of the hip, the same operation simultaneously created a relentless 'particle generator' in the body. Ironically, in the effort to do good, doctors were simultaneously doing major harm. Vanishing Bone: Conquering a Stealth Disease Caused by Total Hip Replacements takes readers on a detective adventure in contemporary medical science, from the identification of the cause of the disease through the complex process of affecting its cure. Dr. William H. Harris and his colleagues played an important role in solving the mystery of this disease, pointing to its molecular biology, recognizing the unusual wear of the prostheses, and ultimately developing a new material for use in the manufacture of hip implants. With more than 6 million people walking on this stable, low-wear material, the disease has been virtually eliminated among those with total hip replacements worldwide. Diseases are rarely observed, revealed, and eliminated in one lifetime. Vanishing Bone tells the captivating story of one such disease through an engaging account of scientific and medical innovation.

Having witnessed the birth of a number of innovations which were initially heralded as the final solution to the replacement of the arthritic hip, but soon to be found wanting and then replaced by either improved or new techniques or implants, were lessons of great importance. To ignore the continuous evolution of hip surgery and to assume that we have finally found a permanent solution is not only wrong but rather naïve. It will be a long time before perfection is attained. This is why, I have structured this book in a manner that identifies the likely reasons for the failures of so many different approaches to the "hip problem" hoping that our enthusiasm with "new" techniques will be tempered by the lessons of history.

A reader-friendly overview of the fundamentals in hip pathology and treatment presented by esteemed experts! Synopsis of Hip Surgery by renowned hip specialists Shane Nho, Joshua Harris, Brett Levine, and an impressive group of contributors provides a well-rounded perspective on the surgical and nonsurgical management of common to rare hip conditions. The generously illustrated clinical reference is both concise and comprehensive, not only encompassing the full age continuum but also a wide array of hip disorders such as congenital and degenerative issues and problems associated with sports injuries. The first seven chapters lay a solid foundation, covering hip anatomy, patient history, physical examination, radiographic imaging, diagnostic tests, biomechanics, pathomechanics, and implant biology. Subsequent chapters detail prevalent conditions such as femoroacetabular impingement syndrome, hip dysplasia, soft-tissue injuries, and osteoarthritis. The text also covers less common diseases including synovial proliferative disorders, primary and metastatic tumors, and osteonecrosis. Procedure-specific chapters focus on primary and revision total hip arthroplasty and hip replacement surgery. Key Features An outline format and bulleted text provide a quick, easy reference for trainees and practitioners to consult prior to conferences, at the office, and in the operating room Over 200 color illustrations enhance understanding of impacted anatomy and procedures Fractures of the pelvis and hip including intracapsular, extracapsular, and acetabulum Discussion of pediatric conditions including Legg-Calvé-Perthes disease, slipped capital femoral epiphysis, and hip fractures This concise resource is essential reading for orthopaedic surgery residents, orthopaedic sports medicine and adult reconstruction fellows, general orthopaedic surgeons, and hip specialists.