|
" BIOMECHANICS OF THE NORMAL AND DISEASED HIP : "
FRIEDRICH PAUWELS
| Document Type
|
:
|
BL
|
| Record Number
|
:
|
716932
|
| Doc. No
|
:
|
b536616
|
| Main Entry
|
:
|
FRIEDRICH PAUWELS
|
| Title & Author
|
:
|
BIOMECHANICS OF THE NORMAL AND DISEASED HIP : : theoretical foundation, technique and results... of treatment an atlas.\ FRIEDRICH PAUWELS
|
| Publication Statement
|
:
|
[S.l.]: SPRINGER, 1977
|
| ISBN
|
:
|
3642662145
|
|
|
:
|
: 9783642662140
|
| Contents
|
:
|
I. Theoretical Foundation.- 1. Loading and Stressing.- 2. Effect of Mechanical Stress on the Skeleton.- a) Influence of Mechanical Stress on Mature Bone.- b) Influence of Type of Mechanical Stress on the Differentiation of Supporting Tissue.- 3. Physiological Load on the Upper Extremity of the Femur.- 4. Survey of the Types of Stress That Occur.- 5. Influence of the Area of the Loaded Surface on the Magnitude of Stressing.- 6. Fundamental Stressing of a Long Bone.- 7. Physiological Stress at the Upper End of the Femur.- 8. The Functional Architecture of the Upper End of the Femur.- 9. The Consequence of a Disturbance of the Equilibrium between Tissue Resistance and Mechanical Stressing.- 10. Basic Treatment of the Three Conditions Mentioned: Congenital Coxa Vara, Osteoarthritis, and Pseudarthrosis of the Neck of the Femur.- 11. The Influence of the Neck/Shaft Angle on the Load and Stressing of the Upper End of the Femur.- a) Influence of the Neck/Shaft (CCD) Angle on the Loading of the Upper End of the Femur.- b) Influence of the Neck/Shaft Angle on the Stressing of the Upper End of the Femur.- 12. The Trajectorial Structure of Cancellous Bone as a Proof of the Stressing of the Femoral Neck.- II. Biomechanical Analysis and Basic Treatment of Congenital Coxa Vara, Pseudarthrosis of the Femoral Neck, and Osteoarthritis of the Hip.- A. Congenital Coxa Vara.- 1. Pathology and Biomechanics.- 2. Principles of Treatment of Congenital Coxa Vara during the Growth Period.- a) Recurrences after the Neck/Shaft Angle Has Been Restored to Normal.- b) Lasting Results Obtained by Adaptation of the Mechanical Stress to Defective Tissue.- 3. The Y Osteotomy as Basic Treatment.- a) Definition and Consequences.- b) Planning and Execution of the Operation.- c) Results of the Y Osteotomy.- B. Pseudarthrosis of the Neck of the Femur.- 1. Influence of the Type of Mechanical Stress on the Healing of a Fracture.- 2. Classification of Fractures of the Femoral Neck from the Biomechanical Standpoint.- 3. The Special Case of the Abduction Fracture.- 4. Basic Treatment of Pseudarthrosis of the Neck of the Femur by Alteration of the Type of Mechanical Stress.- a) Reorientation of the Fracture Surfaces by Intertrochanteric Wedge Osteotomy.- b) Planning and Technique of the Reorientation Osteotomy.- c) Reorientation by Y Osteotomy.- d) Planning and Procedure of Reorientation by Y Osteotomy.- e) Results of Y Reorientation Osteotomy.- f) Reorientation of the Pseudarthrosis with Reshaping of the Bone by Wedge Resection.- g) Treatment of Necrosis of the Femoral Head.- 5. Reconstruction of the Femoral Neck by Bone Grafting.- 6. Influence of the Position of a Graft in Contact with Bone on the Magnitude of the Mechanical Stress.- C. Osteoarthritis.- 1. The Pathological Entity and Its Relation to Mechanics.- a) Disturbance of the Biomechanical Equilibrium.- b) The Influence of Articular Cartilage on the Magnitude and Distribution of Joint Pressure.- c) The Outline of the Bony Condensation in the Acetabular Roof (Sourcil) as a Representation of the Diagram of the Compressive Stresses.- d) The Effect on the Hip Joint of Relatively Excessive Pressure.- 2. The Task of Basic Treatment.- 3. The Diminution of Articular Pressure by Reduction of the Load When the Articular Surfaces Are Congruent (Voss, McMurray).- 4. The Reduction of Joint Pressure by Increasing the Weight-Bearing Area Where There Is Incongruence of the Joint Contours.- a) The Adduction-Varus Osteotomy (PI) and the Abduction-Valgus Osteotomy (PH).- b) The Indications and Planning for the Varus (Adduction) Osteotomy (PI) and for the Valgus (Abduction) Osteotomy (PH).- c) Results of the Varus (Adduction) Osteotomy (PI) in the Incipient Stages of Osteoarthritis.- d) Results of the Varus (Adduction) Osteotomy (PI) in Advanced Cases of Osteoarthritis of the Hip.- e) Results of the Abduction (Valgus) Osteotomy (PH).- f) Results of the Abduction (Valgus) Osteotomy (PH) in Cases of Extreme Subluxation of the Femoral Head.- g) Planning of the Abduction (Valgus) Osteotomy (PH) in the Presence of Adduction Deformity.- h) The Effect of Shortening the Leg on the Position of the Femoral Head in the Socket.- 5. Basic Treatment for Protrusio Acetabuli.- 6. Problems Concerning Indications for PI and PH Osteotomy.- a) No Definite Indication.- b) Alteration of the Indication at Various Stages of Osteoarthritis.- c) Poor Results Following Operations with an Incorrect Indication.- d) Revision of Poor Results Due to a Wrong Indication.- 7. Comparison between the Postoperative Reaction of Bone Tissue in Osteoarthritis after Arthroplasty and Following Conservative Operations.- 8. The Problem of the Acetabular Arthroplasties.- Conclusion.
|
| LC Classification
|
:
|
RD549.F754 1977
|
| Added Entry
|
:
|
FRIEDRICH PAUWELS
|
| |