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Joint Reconstruction Without Replacement Arthroplasty for Advanced- and Terminal-Stage Osteoarthritis of the Hip in Middle-Aged Patients

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Treatment of Osteoarthritic Change in the Hip

Abstract

In hip osteoarthritis (OA), osteophytes are formed both on the acetabular edge and the margin of the femoral head as a result of biological response, which reflects the natural biological regenerative capacity to heal. We need to try to use these osteophytes more effectively in the treatment of advanced- and terminal-stage osteoarthritis, particularly in middle-aged patients. By improving the biomechanical environment of the hip joint, we can promote biological repair and regeneration of the devastated joint surface. Thus, valgus osteotomy or valgus-flexion osteotomy is a joint regenerative surgery that enhances the regeneration of repair tissues in the articular surface, even for terminal-stage OA. For younger patients, rather than going to total hip replacement immediately, we should first try to resort to means to enhance and capitalize on the capacity of the biological system to heal, repair, and regenerate.

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© 2007 Springer

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Itoman, M., Takahira, N., Uchiyama, K., Takasaki, S. (2007). Joint Reconstruction Without Replacement Arthroplasty for Advanced- and Terminal-Stage Osteoarthritis of the Hip in Middle-Aged Patients. In: Sofue, M., Endo, N. (eds) Treatment of Osteoarthritic Change in the Hip. Springer, Tokyo. https://doi.org/10.1007/978-4-431-38200-3_18

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  • DOI: https://doi.org/10.1007/978-4-431-38200-3_18

  • Publisher Name: Springer, Tokyo

  • Print ISBN: 978-4-431-38198-3

  • Online ISBN: 978-4-431-38200-3

  • eBook Packages: MedicineMedicine (R0)

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