Joint Preserving Procedures of the Lower Extremity by Prof. Dr. Heinz Wagner (auth.), Ulrich H. Weil M.D. (eds.)

By Prof. Dr. Heinz Wagner (auth.), Ulrich H. Weil M.D. (eds.)

The fourth quantity of development in Orthopaedic surgical procedure is a bit assorted from pre­ vious courses of the sequence. The editors have back attempted to provide subject matters however the guides provided from the eu literature are of very contemporary foundation. within the age of overall joint substitute it was once felt to be central to counteract the pre­ despatched tendency to regard each joint which doesn't appear to be fit with a synthetic re­ placement. Orthopaedic surgical procedure looks encouraged through developments. In 1963, E. A. Nichol discussing intracapsular hip fractures, quoted from Alice In Wonderland in a piece of writing written for quantity 45B of the magazine of Bone and Joint surgical procedure "The Queen had just one approach of settling all problems, nice or small, "Off together with his head"!". this present day it is easy to paraphrase his implied critizism by means of announcing "Out with the joint". not anyone doubts that joint replacements were of significant price in treating degenerative joint alterations, however it is already obvious that substitute operations aren't the final word solution for treating each joint deformity. This quantity represents the eu adventure of other different types of surgical procedure in deal with­ ing arthrosis of the joints of the reduce limb. A reader of the Anglo-American literature will locate feedback in it which reaffirm his uneasiness in contemplating just one answer for difficulties touching on reduce limb joints. i think strongly that there are alternative ways which enable a sufferer to operate good with much less huge operations.

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Symposium de la SOFCOT. Rev Chir Orthop 62:511-577 Translation from the German: Judet H (1979) Ergebnisse der Pfannendachpiastik nach mehr als 10 Jahren. Orthopiide 8:269-275 © Springer Verlag 1979 Treatment of Osteoarthritis of the Knee by Osteotomy P. Maquet The antero-posterior X-ray of a normal knee demonstrates an even thickness of subchondral sclerosis under each tibial plateau (Fig. 2a). As Pauwels [10] has shown, the quantity of bone tissue is proportional to the mechanical stresses. Greater stresses provoke deposition of bone, smaller stresses resorption.

Maquet The antero-posterior X-ray of a normal knee demonstrates an even thickness of subchondral sclerosis under each tibial plateau (Fig. 2a). As Pauwels [10] has shown, the quantity of bone tissue is proportional to the mechanical stresses. Greater stresses provoke deposition of bone, smaller stresses resorption. Therefore, the shape of the subchondral sclerosis corresponds to that of the stress diagram or load distribution curve. From the pattern of even thickness of the subchondral sclerosis under the tibial plateau, we can conclude that the stresses are evenly distributed in a normal knee.

Clin Orthop 134:36 Trueta J, Harrison MHM (1953) The normal vascular anatomy of the femoral head in adult man. J Bone Joint Surg 35B:442 Wagner H (1968) Atiologie, Pathogenese, Klinik und Therapie der idiopathischen Htiftkopfnekrose. Verth Dtsch Orthop Ges 54:224 Wagner H (1972) Miiglichkeiten und klinische Erfahrungen mit der Knorpeltransplantation. Z Orthop 110:705 Wagner H (1975) Der alloplastische Gelenkflachenersatz am Htiftgelenk. Arch Orthop Unf Chir 82:101 Wagner H (1978) Surface replacement arthoplasty of the hip.

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