Treatment of Osteoarthritic Change in the Hip - Joint Preservation or Joint Replacement.pdf

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M. Sofue, N. Endo (Eds.)
Treatment of Osteoarthritic Change in the Hip
Joint Preservation or Joint Replacement?
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M. Sofue, N. Endo (Eds.)
Treatment of
Osteoarthritic
Change in the Hip
Joint Preservation or
Joint Replacement?
With
198
Figures, Including 12
in Color
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Muroto Sofue, M.D.
Director of Nakajo Central Hospital
Chairman of the Orthopaedic Division
12-1 Nishihon-cho, Tainai, Niigata 959-2656, Japan
Naoto Endo, M.D.
Professor and Chairman
Division of Orthopedic Surgery
Niigata University Graduate School of Medical and Dental Sciences
1-757 Asahimachi-dori, Niigata 951-8510, Japan
Library of Congress Control Number: 2006938396
ISBN-10 4-431-38198-8 Springer Tokyo Berlin Heidelberg New York
ISBN-13 978-4-431-38198-3 Springer Tokyo Berlin Heidelberg New York
This work is subject to copyright. All rights are reserved, whether the whole or part of the material
is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broad-
casting, reproduction on microfilms or in other ways, and storage in data banks.
The use of registered names, trademarks, etc. in this publication does not imply, even in the absence
of a specific statement, that such names are exempt from the relevant protective laws and regulations
and therefore free for general use.
Product liability: The publisher can give no guarantee for information about drug dosage and applica-
tion thereof contained in this book. In every individual case the respective user must check its
accuracy by consulting other pharmaceutical literature.
Springer is a part of Springer Science
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Business Media
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© Springer 2007
Printed in Japan
Typesetting: SNP Best-set Typesetter Ltd., Hong Kong
Printing and binding: Shinano, Japan
Printed on acid-free paper
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Preface
The 32nd Japanese Hip Society (JHS) Congress was held November 6–8, 2005, in
Niigata, Japan. Guest speakers from many countries and specialists for hip disease
presented papers that focused on joint preservation for osteoarthritis of the hip, joint
preservation for aseptic necrosis of the femoral head, treatment for epiphyseolysis
capitis femoris, and up-to-date information and knowledge on joint arthroplasty.
Altogether, there were many important presentations about joint preservation and
replacement. This book covers the main themes of the congress.
The starting point for the treatment of hip disease depends on how we can preserve
the natural hip joint and on steps leading to regeneration of the diseased, injured, or
destroyed joint. Preservation and regeneration treatments following traditional and
theoretical methods do not need to use expensive materials, such as the artificial
joints used in arthroplasty. On the other hand, preservation and regeneration treat-
ments are difficult to perform and require a lengthy rehabilitation period.
Recently, too much attention has been paid to these demerits, resulting in a yearly
decrease in the number of cases receiving joint-preserving treatment. This move away
from traditional methods denies the surgeon the experience and knowledge of the
benefits associated with the most biologically appropriate treatment. As the president
of JHS and a hip surgeon, I believe there is a need to halt this tendency, to promote
the benefits of histological treatment, and to allow the young surgeon insight into
joint-preservation surgery. Also, as a hip surgeon I am not neglecting joint replace-
ment as a treatment for hip disease. I, myself, perform total hip arthroplasty for
patients with severely damaged hip joints and those who have no other therapeutic
choice than joint-replacement surgery.
As an editor of this book, I am very hopeful that readers gain insight into the proper
treatment of hip disease.
Muroto Sofue
President of the 32nd Japanese Hip Society
V
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