Hip Surgery An Odyssey

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.

Anterior hip replacement is a surgical approach that has dramatically changed the landscape of modern hip replacement. The approach is common to orthopedic trauma surgery, but it has been rapidly adopted in recent years for hip replacement as well. Its proposed benefits as a muscle-sparing surgery include less tissue trauma, faster recovery, and fewer hip precautions. While the technique can be challenging during initial learning and early adoption, the approach continues to increase in utilization in the U.S. every year because of these benefits. Understanding the initial development of the anterior surgical approach for hip replacement creates the foundation to better understand its modern clinical benefits and possibilities with advanced techniques. Furthermore, a detailed description of the reasoning behind the continued developments of the anterior approach helps in understanding the key elements needed to obtain the most successful outcomes. With the continued adoption of this technically challenging technique, there is a need for a comprehensive resource for newly adopting surgeons and surgeons in training, but also for experienced surgeons looking to enhance their skill sets. Written by experts in the field, this book presents the tips and tricks learned after years of experience by a wide spectrum of surgeons. Parts 1 and 2 describe the origin and background of the anterior approach for hip replacement, with early lessons learned, important tips when training others, and how to master the operating table and c-arm. Parts 3 and 4 cover hip biomechanics and variations on techniques and technologies, respectively, while part 5 is a unique compilation of surgeons' perspectives on managing common aspects of the approach. Revision surgery is described in part 6, and future directions for the technique are discussed in part 7, along with emerging navigation and technologies. Every year, there is an increasing number of orthopedic surgeons learning and adopting the anterior hip approach who would benefit from the resources in this book, which will serve as a critical learning tool for training surgeons and also as the go-to reference for optimizing current use and advancing future possibilities of the approach.

Orthopedic experts in their field have carefully chosen what they consider to be the key papers in their respective domains. Every paper is carefully described and evaluated by its strengths, weaknesses and its contribution to the field. Papers have been chosen by number of citations, academic importance, articles that have changed our whole way of thinking or that have simply stood the test of time.

Augusto Sarmiento, M.D. is Emeritus Professor and chairman of the departments of Orthopaedics at the Universities of Miami and Southern California. He was a founding member of the Hip Society and the International Hip Society. His productive academic career includes the presidency of the Hip Society and the American Academy of Orthopaedic Surgeons. He has published over a fourteen books, over 400 articles and chapters; lectured in forty different countries and received four of the most coveted orthopaedic awards in the United States: the Elmer Nix Ethics Award of the Clinical Orthopaedic Society, the Kappa Delta Award, the Nicholas Andre Award, and the John Charnley Award. His research activities involved a number of areas, particularly those of fracture healing and care, and traumatic and degenerative conditions of the hip.

How to determine whether it's time for a joint replacement ... description of the surgery ... postoperative physical therapy ...

"Threads of Destiny: A Surgeon's Odyssey" by Charles Marks describes the developments in cardiovascular and transplantation surgery within the parameters of his own surgical career. The author reviews his migration from Ukraine and Lithuania to Cape Town, South Africa where he completed his medical studies. Many years of unique surgical training and practice take him on a prolonged journey that encompasses challenges and opportunities in Southern Africa, England, United States and Israel. Written from an insider's vantage point, "Threads of Destiny" provides a thoughtful account of medical education and describes interesting clinical challenges that ring with verisimilitude and drama. Throughout his sojourn Dr. Marks is fortified by the love and support of a happy home life provided by his wife, Joyce, as they raise their four sons and observe the growth and development of their American-born grandchildren.

In New Mexico Odyssey, Toby Smith goes on the road to find memorable people, engage them in conversation, and come away with good stories to share with us. We motor along on Route 66 the length of the state encountering towns and people who've seen better times but aren't sorry about what they did or how they did it. In Las Vegas we meet an artist working in an abandoned railroad roundhouse, while in Las Cruces we drop in an engineering students building a concrete boat for a race in the Rio Grande. Smith takes us to every part of the state and at each stop he introduces us to someone who will amuse, inform, or capture our interest and imagination. New Mexico Odyssey serves to remind us that highways are more than asphalt of concrete divided by a golden dash. They are invitations to discovery. Everyone who travels in New Mexico will find these stories entertaining and enlightening.--Cover