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.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Pauwels F (1976) Biomechanics of the normal and diseased hip. Springer-Verlag, Berlin, Heidelberg, New York
Terayama K (1982) Natural process and waiting strategy for treatment of osteoarthritis of the hip (in Japanese). Seikei-Saigai-Geka 25:1–4
Ueno R (1982) After reading [Natural process and waiting strategy for treatment of osteoarthritis of the hip] (in Japanese). Seikei-Saigai-Geka 25:193–195
Bombelli R (1976) Osteoarthritis of the hip. Springer-Verlag, Berlin, Heidelberg, New York
Itoman M, Yamamoto M (1984) From valgus-extension osteotomy to valgus-flexion osteotomy as a treatment of advanced coxarthrosis (in Japanese). Seikei-Saigai-Geka 27:863–870
Itoman M, Yonemoto K, Sekiguchi M, et al (1992) Valgus-flexion osteotomy for middle-aged patients with advanced osteoarthritis of the hip: a clinical and radiological evaluations. J Jpn Assoc Orthop 66:195–204
Itoman M, Yamamoto M, Sasamoto N, et al (1986) Valgus-osteotomy for treatment of advanced coxarthrosis in the young adult. Seikei-Geka to Saigai-Geka 35:549–553
Itoman M (1988) Valgus-flexion osteotomy for severely advanced osteoarthritis of the hip joint in middle aged patients. Int Coll Surg Thailand 30:21–23
Takahira N, Itoman M (2006) Valgus-flexion osteotomy for advanced and terminal stage osteoarthritis of the hip (in Japanese). MB Orthop 19:48–53
Sekiguchi M, Itoman M, Izumi T, et al (1998) Middle-term results of combined valgus and Chisir pelvic osteotomies for advanced osteoarthritis of the hip (in Japanese). Hip Joint 24:116–120
Uchiyama K, Takahira N, Komiya K, et al (2004) The results of combined valgus and Chiari pelvic osteotomies for osteoarthritis of the hip (in Japanese). Hip Joint 30: 364–369
Itoman M, Sekiguchi M, Kai H, et al (1993) Valgus-flexion osteotomy for severely advanced osteoarthritis of the hip joint (in Japanese). J Musculoskel System 6: 747–752
Takahira N, Uchiyama K, Takasaki S, et al (2005) Valgus osteotomy combined with Chiari pelvic ostetotomy for the treatment of advanced osteoarthritis in patients less than 50 years old (in Japanese). J East Jpn Orthop Traumatol 17:132–137
Maistrelli GL, Gerundini M, Fusco U, et al (1990) Valgus-extension osteotomy for osteoarthritis of the hip. J Bone Joint Surg 72B:653–657
Itoman M, Yamamoto M, Yonemoto K, et al (1992) Histological examination of surface repair tissue after successful osteotomy for osteoarthritis of the hip joint. Int Orthop 16:118–121
Itoman M, Yonemoto K, Yamamoto M, et al (1991) Trochanteric valgus-flexion osteotomy for subluxated coxarthrosis: radiological and histological studies on joint remodeling (in Japanese). Hip Joint 17:235–239
Yonemoto K, Itoman M, Ueta S, et al (1990) Radiological study of the valgus osteotomy of the proximal femur in the subluxated osteoarthritis of the hip (in Japanese). Hip Joint 16:57–62
Tamai A, Masuhara K, Oneda Y, et al (1985) Intertrochanteric osteotomy and its combined arthroplasty for osteoarthritis of the hip: an arthroscopic and histological study on the regenerated articular surface of the postoperative joints (in Japanese). Hip Joint 11:217–223
Takatori Y (2003) Probability and surgery for osteoarthritis of the hip joint (in Japanese). Seikeigeka 54:1335–1339
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2007 Springer
About this paper
Cite this paper
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
Download citation
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)