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" Osteoarthritis of the Hip : "
by Renato Bombelli.
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BL
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| Record Number
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714841
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b536993
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| Main Entry
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by Renato Bombelli.
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| Title & Author
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Osteoarthritis of the Hip : : Classification and Pathogenesis The Role of Osteotomy as a Consequent Therapy\ by Renato Bombelli.
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| Edition Statement
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Second, rev. and enlarged edition
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| Publication Statement
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Berlin, Heidelberg: Springer Berlin Heidelberg, 1983
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| Page. NO
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(xvii, 386 pages 374 illustrations)
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| ISBN
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3642966918
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: 9783642966910
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| Contents
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1 Introduction --;1.1 Histology of the Osteophytes --;2 Biomechanics of the Normal Static and Dynamic Hip --;2.1 Static --;2.2 Dynamic --;3 Biomechanics of the Osteoarthritic Hip --;3.1 Effect of Inclination of the Weight-Bearing Surface on the Magnitude and Direction of the Component Forces of Forces R and R1 --;4 Classification of Osteoarthritis of the Hip --;4.1 Etiology --;4.2 Morphology --;4.3 Biological Reaction --;4.4 Range of Motion --;5 Pathogenesis of Superolateral Types a), b) and c) Osteoarthritis --;5.1 Anterocraniolateral Inclination of the Weight-Bearing Surface --;5.2 Osteophytes --;6 Therapy of Superolateral Types b) and c) and Medial Osteoarthritis --;6.1 Valgus-Extension Osteotomy --;6.2 Effect of Valgus Osteotomy on the Knee --;6.3 Results of Osteotomy for Superolateral Osteoarthritis --;6.4 Results of Osteotomy for Medial Types a) and b) Osteoarthritis --;7 Acetabuloplasty and Pelvic Osteotomy --;7.1 Surgical Technique --;7.2 Results --;7.3 Statistics --;8 Therapy of Superolateral Type a) and Concentric Osteoarthritis --;8.1 Varus and Varus-Extension Osteotomy --;8.2 Effect of Varus Osteotomy on the Knee --;8.3 Results --;8.4 Statistics --;9 Pathogenesis of Superolateral Types d1) and d2) Osteoarthritis --;10 Therapy of Superolateral Types d1 and d2) Osteoarthritis --;10.1 Varus-Extension Osteotomy for Type d1 --;10.2 Valgus-Extension Osteotomy for Type d2) --;11 What to Consider When Faced with a Patient Suffering from Osteoarthritis of the Hip --;11.1 Errors to Be Avoided --;11.2 Indications for Osteotomy and Total Hip Replacement --;12 How to Reduce Stress in the Hip Joint --;12.1 Shifting the Centre of Gravity (S5) Towards the Supporting Limb --;12.2 Using One Stick --;12.3 Using Two Sticks --;12.4 Carrying a Weight --;12.5 Conclusion --;13 Summary --;14 Appendix: Notes on Principles of Mechanics and Dynamics --;14.1 Principles of Mechanics --;14.2 Principles of Dynamics --;14.3 Culmann's Theorem --;References.
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| Abstract
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In the first edition, published in 1976, Professor BOMBELLI demonstrated a clear alternative to total hip replacement that is also useful in cases of advanced osteoarthritis. Since then the number of osteotomies perfor med has reached 2500, which together with the longer follow-up of the original cases means that the author has significantly more experience with his new techniques. He has refined his previous concepts of the pathogenesis and treatment of osteoarthritis, and with the benefit of his experience has further clari fied the indications and contra-indications of valgus-extension and varus osteotomy. Valgus-extension osteotomy has been proven to be particu larly effective in cases with well-formed osteophytes and elliptical femoral heads. On the other hand, the indication for varus osteotomy has mostly been restricted to cases in which the femoral head is spherical. The role of CHIARI and SALTER pelvic osteotomies in those cases in which the coverage of the femoral head is insufficient is not neglected. Osteotomy is capable of complementing and accelerating the healing process, particularly in young patients in whom hip function is still well preserved and in whom there is early radiological evidence of sponta neous, osteophyte-dependent repair. Whenever feasible, pre-existing or anticipated leg length inequalities are adjusted intra-operatively, but when this is technically impossible a postoperative lift may be required.
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| Subject
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Medicine.
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| Subject
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Orthopedics.
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| Added Entry
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Renato Bombelli
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