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Dr. MAQUET, the foremost disciple of Professor PAUWELS' and the orthopae dic heir to the PAUWELS' concepts of osteotomy of the hip for arthritis, has assembled in this one book the strongest and most lucid contemporary statement of the principles and practice of this very important school of hip surgery. Professor PAUWELS' contributions to the understanding of the biomechanics of the hip and to the concepts and execution of osteotomy of the hip for arthritis are outstanding and timeless. With clarity, Dr. MAQUET articulates this position and refines it further in the light of his own investiga tion. While other investigators, of course, differ on individual concepts or princi ples in this book or disagree with specific positions, assumptions, or conclu sions, it is clear to all that this book is a benchmark work. Dr. MAQUET, as Professor PAUWELS always did, illustrates his text lavishly with beautiful examples of individual cases illuminating the principles ad vanced. But in addition, he has gone further and presents long-term follow-up data, quantifying the results of these surgical precepts as experienced in his own practice. It is a work that has been long sought and is richly received. Boston, Massachusetts, 1984 WILLIAM H. HARRIS, M.D.
List of contents
I. Biomechanics of the Hip.- I. Previous Works.- II. Forces Exerted on a Normal Hip.- III. Mechanical Stressing of the Normal Hip Joint.- IV. Mechanical Stressing of the Normal Femoral Neck.- V. Cartilage Reaction to the Articular Compressive Stresses.- VI. Bone Reaction to the Articular Compressive Stresses.- VII. Mechanical Significance of the Neck-Shaft Angle.- VIII. Significance of the Subchondral Sclerosis in the Acetabulum.- IX. Conclusion.- II. Principles of a Biomechanical Treatment of Osteoarthritis of the Hip. Critical Analysis of Different Surgical Procedures. Instinctive Attempts to Relieve Stress in the Joint.- I. Modifying the Biology of the Tissues.- II. Reducing Joint Pressure.- III. Instinctive Attempts to Reduce the Stress on the Affected Hip.- IV. Conclusion.- III. Surgical Treatment of Osteoarthritis of the Hip.- I. X-rays.- II. Hanging-Hip Procedure.- III. Varus Intertrochanteric Osteotomy (Pauwels I).- IV. Valgus Intertrochanteric Osteotomy and Tenotomy (Pauwels II).- V. Lateral Displacement of the Greater Trochanter.- VI. Shortening of the Opposite Leg.- VII. Changing Indication.- VIII. No Indication for Any of the Operations Previously Described.- IX. Reoperations.- X. Age of the Patients and Duration of the Postoperative Results.- XI. Long-term Results.- XII. Osteotomies Distal to the Lesser Trochanter (Lorenz, Schanz, Milch).- IV. Osteoarthritis with Protrusio acetabuli.- I. Rationale.- II. Indications.- III. Abduction Contracture.- IV. Conclusion.- V. Avascular Necrosis of the Femoral Head.- I. Legg-Calvé-Perthes' Disease.- II. Avascular Necrosis of the Femoral Head in Adults.- VI. Dysplastic Hips.- I. Introduction.- II. In Infants.- III. In Children and Adolescents.- IV. In Adults.- V. Conclusion.- VII. Results.- I. Hanging-Hip Procedure.-II. Varus and Valgus Intertrochanteric Osteotomy.- III. Lateral Displacement of the Greater Trochanter.- IV. Schanz Osteotomy.- V. Conclusion.- VIII. General Conclusions.- Appendix: Fixation of the Fragments After Intertrochanteric Osteotomy.- References.
Summary
Dr. MAQUET, the foremost disciple of Professor PAUWELS' and the orthopae dic heir to the PAUWELS' concepts of osteotomy of the hip for arthritis, has assembled in this one book the strongest and most lucid contemporary statement of the principles and practice of this very important school of hip surgery. Professor PAUWELS' contributions to the understanding of the biomechanics of the hip and to the concepts and execution of osteotomy of the hip for arthritis are outstanding and timeless. With clarity, Dr. MAQUET articulates this position and refines it further in the light of his own investiga tion. While other investigators, of course, differ on individual concepts or princi ples in this book or disagree with specific positions, assumptions, or conclu sions, it is clear to all that this book is a benchmark work. Dr. MAQUET, as Professor PAUWELS always did, illustrates his text lavishly with beautiful examples of individual cases illuminating the principles ad vanced. But in addition, he has gone further and presents long-term follow-up data, quantifying the results of these surgical precepts as experienced in his own practice. It is a work that has been long sought and is richly received. Boston, Massachusetts, 1984 WILLIAM H. HARRIS, M.D.
