Controversies in Hip Surgery by Robert Bourne

By Robert Bourne

The needs of this booklet is to provide an summary of controversies that orthopaedic surgeons may need to contemplate whilst engaging in all degrees of hip surgery.Contributions disguise such very important paediatric difficulties equivalent to developmental dysplasia of the hip, Perthes ailment, slipped capital femoral epiphysis and hip difficulties linked to neurological ailments. anxious stipulations of the hip, together with acetabular fractures and femoral neck fractures are coated intimately. enormous emphasis is given to the sphere of either basically and revision overall hip alternative, with targeted emphasis at the distinction which happen in Europe and North the US. like any different point of hip illness, the sector of overall hip anthroplasty is always altering to enhance either the standard and sturdiness of the scientific outcome. eventually, post-operative problems and their avoidance are coated, rather within the fields of deep vein thrombosis prophylaxis and administration of the contaminated overall hip arhtroplasty. The contributions during this quantity are from a world array of specialists within the box of hip surgical procedure.

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Journal of Pediatric Orthopaedics 9: 525–31, 1989. Tumer Y, Ward WT, Grudziak J: Medial open reduction in the treatment of developmental dislocation of the hip. Journal of Pediatric Orthopaedics 17: 176 –80, 1997. Weinstein SL, Ponseti IV: Congenital dislocation of the hip. Journal of Bone and Joint Surgery [Am] 61: 119–24, 1979. Weinstein SL: Traction in developmental dislocation of the hip. Is its use justified? Clinical Orthopaedics and Related Research 338: 79–85, 1997. Salter RB: Innominate osteotomy in the treatment of developmental hip dysplasia and subluxation of the hip.

I have read and re-read the literature, carefully studied hundreds of patients both treated and untreated, and have seen clear differences in outcome which may be due to treatment. Yet I still find it hard to pick the right treatment for each patient that I see. Hopefully, as our studies mature, definitive answers will emerge so that our treatment will be based on solid evidence and not prior habit patterns. References 1 Ratliff AH: Perthes’ disease. A study of thirty-four hips observed for thirty years.

68 reported on 42 patients with 53 involved hips. Ninety-two per cent of the hips went on to uneventful physeal fusion and participated in full activities. 3-mm cannulated screw is sufficient for both stable and unstable slips. 36 43 R. Baxter Willis Fig. 8 Frog lateral radiograph of the patient in Fig. 7. Note the entry point used to achieve the position of the screw in the femoral head. Single-screw fixation has become the gold standard in the treatment of SCFE. Other treatment methods have been advocated but for the most part have little or no role to play in SCFE (Fig.

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