Modern Hip Preservation

This book comprehensively discusses both the history and the current concepts of modern hip preservation surgery. Offering an overview of the game-changing studies on the hip and pelvis vascular anatomy it thoroughly describes the evolution of a new and comprehensive pathophysiology of the hip joint degeneration. Moreover, in the first part, particular emphasis is devoted to the history and current knowledge of femoroacetabular impingement and hip dysplasia. The second part examines the main surgical procedures that have evolved and matured since the 1980s, culminating in a new class of open surgical approaches, such as hip surgical dislocation, periacetabular osteotomies, proximal femoral osteotomies and corrections, and widening the door for hip-arthroscopy. Based on over 40 years of practical and pioneering experience by the editor and 15 years of collaboration with the GICCA Study Group, this book offers a valuable resource to residents, researchers and practicing orthopedic surgeon wishing to gain insights into hip preservation surgery.

There is a rising interest in trying to preserve hips, especially in younger patients, rather than replacing them. Hips are preserved by providing the patient with a new area of articular cartilage that prevents bone from rubbing on bone. This book, by the leaders in the field, will comprehensively cover both the basic science and operative techniques necessary to understand and master the clinical skills necessary for hip preservation. Key Features Authors are the inventors of these techniques First comprehensive coverage of hip preservation surgery This is a growing area of orthopedics Covers anatomy, pathology, biomechanics, and treatment.

Hip Preservation Techniques explores hip problems and presents and compares alternative protocols for treating the condition in children, adolescents, young adults, and adults. While poor long-term outcomes of arthroplasty have led to an increasing dependence on procedures to conserve the native hip, preservation surgery may maintain or protect a hip and prevent or delay the need for arthroplasty. Well-established techniques such as cartilage restoration and use of tissue-derived mesenchymal stem cells are presented, and conceptually different procedures such as Bernese peri-acetabular osteotomy, Salter’s and Pemberton’s osteotomy are also discussed. This book will be useful for medical students, residents and consultants with an interest in hip preservation surgery. Key Features Explores the emerging concepts in hip preservation surgery with a concise and to-the-point approach Discusses digital templating in total hip arthroplasty Examines the anterior approach to the hip for a minimally invasive prosthesis Offers a comprehensive coverage of the topic through beautiful illustrations

Hip replacement surgery is a radical and traumatic procedure that has enormous disadvantages to the patient in terms of postoperative mobility and morbidity. Hip resurfacing is a more conservative approach resulting in less of the patient’s hip and femur being lost, which has great advantages to a younger patient group. The author of Hip Resurfacing is the world’s leading authority on this surgery, making this the definitive resource in hip resurfacing

This book offers practical guidance on all procedures that may be performed within the field of hip preservation surgery, arthroscopy, and endoscopy. European experts share their experiences on everything from basic injections to the most challenging hip procedures, offering step-by-step tutorials and highlighting important tips and tricks. Whereas most books on hip arthroscopy and hip preservation surgery concentrate on pathologies, surgical indications, and the basics of the treatment, here the focus is very much on the individual techniques and recognized variants. These techniques are clearly and precisely described with the aid of a wealth of photo and video illustrations. The coverage encompasses procedures applicable in the widest range of scenarios, including synovial pathologies, labral, chondral, and bony injuries, hip impingement, dysplasia and instability, snapping hips, gluteus medius and minimus tendonitis and tears, other tendinopathies, post-arthroplasty complications, and rehabilitation. The book is published in cooperation with ESSKA and will be an essential aid for orthopaedic surgeons at all levels of experience.

The field of hip preservation surgery has evolved over the past decade as our understanding of hip pathomechanics and pathomorphology has expanded. The published literature on non-arthritic hip pathology, for example, has grown exponentially. The topics of controversy in the past decade have been answered in some cases, but new questions have also arisen. In addition to the 99 chapters in the original edition – most of which will be retained and updated as applicable – there will be over 30 brand new chapters focusing on new and more sophisticated techniques from authors that have been the pioneers of the field. The text is divided into nine thematic sections, covering the breadth of the topic and the current state of the art: basic science of the hip; operative basics for hip arthroscopy and open hip preservation surgery; pediatric hip conditions; approaches to disorders of the hip and pelvis; enthesopathy and neuromuscular disorders; hip fractures and instability; avascular necrosis; hip cartilage restoration; and oncologic conditions. Throughout, there is a heavy emphasis on surgical techniques, and video clips will be included in selected chapters. Written by edited by thought leaders and seasoned practitioners in the field, this new edition of Hip Arthroscopy and Hip Joint Preservation Surgery will remain the gold standard for orthopedic surgeons and sports medicine specialists, expanding on the range of techniques available to clinicians treating injuries to and disorders of the hip.

This book represents the most advanced understanding of diagnosis and management of hip dysplasia in the young adult, written by the world’s leading experts and covering advanced imaging and biomechanical studies as well as latest surgical techniques. This is especially timely, as the field of hip preservation surgery is in constant evolution, and it is critical that surgeons and researchers combine their efforts to provide the best evidence-based knowledge to all health care providers evaluating and treating patients suffering from pre-arthritic hip pain. Not only does this book discuss the most up-to-date information on the etiology and natural history of hip dysplasia, as well as pathomechanics and traditional and advanced imaging, it also presents new conceptions of its classification and subsequent management. The focus throughout the book is that hip dysplasia is a problem of instability, where both the bony structure and the soft tissue envelope (i.e., capsule, ligaments and muscles) are at play. Moreover, although corrective osteotomies such as the peri-acetabular osteotomy will remain the dominant treatment option, non-surgical treatments as well as hip arthroscopy are now being increasingly recognized as useful adjuncts in order for our patients to return to their desired activities. Finally, as the longevity of joint replacement surgery has improved dramatically, this should be strongly considered in cases where the outcome of joint preserving surgery is not as predictable. Orthopedic surgeons, sports medicine physicians, physiatrists and physiotherapists alike will find this book a valuable resource when treating the young adult with symptomatic hip dysplasia.

This open access book describes and illustrates the surgical techniques, implants, and technologies used for the purpose of personalized implantation of hip and knee components. This new and flourishing treatment philosophy offers important benefits over conventional systematic techniques, including component positioning appropriate to individual anatomy, improved surgical reproducibility and prosthetic performance, and a reduction in complications. The techniques described in the book aim to reproduce patients’ native anatomy and physiological joint laxity, thereby improving the prosthetic hip/knee kinematics and functional outcomes in the quest of the forgotten joint. They include kinematically aligned total knee/total hip arthroplasty, partial knee replacement, and hip resurfacing. The relevance of available and emerging technological tools for these personalized approaches is also explained, with coverage of, for example, robotics, computer-assisted surgery, and augmented reality. Contributions from surgeons who are considered world leaders in diverse fields of this novel surgical philosophy make this open access book will invaluable to a wide readership, from trainees at all levels to consultants practicing lower limb surgery