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European Journal of OrthopaedicSurgery & Traumatology ISSN 1633-8065Volume 27Number 7 Eur J Orthop Surg Traumatol (2017)27:1027-1028DOI 10.1007/s00590-017-1923-y

K. Mohan Iyer (Ed.): The Hip Joint

Pierre Kehr

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BOOK ANALYZES

K. Mohan Iyer (Ed.): The Hip Joint

Pan Stanford Publishing Pte. Ltd., CRC Press, 510 Pages, 15 Color & 188 B/Willustrations, £ 159.00, ISBN 978-981-4745-14-7 (Hardcover), ISBN 978-981-4745-15-4(eBook)

Pierre Kehr1

Received: 15 January 2017 / Accepted: 27 January 2017 / Published online: 7 February 2017

� Springer-Verlag France 2017

This monumental volume, of which K. Mohan lyer is the

editor, was written by several authors. It contains more

than 500 pages and provides comprehensive cover of the

hip joint in 15 broad chapters. After a rather brief embry-

ological and anatomical description, the author studies the

biomechanics defining the forces applied to the femoral

head in particular. Each chapter ends with a rich reference

list.

The clinical examination is written by K. Mohan Iyer

himself. While medical imaging is gaining increasing

importance both among surgeons and patients, it is essen-

tial as the author does to recall the clinical features which

begin from the exterior aspect and gait examination. The

neurological examination as well as specific testing is then

detailed.

Imaging begins with standard X-ray studies with its

classical landmarks and then MRI with beautiful images in

order to identify in detail anatomical elements and muscles.

Anatomical structures may even be observed with

ultrasonography.

The following chapters will allow for the study of dif-

ferent hip pathologies, beginning with child and adolescent

conditions, from septic arthritis in the infant, to dysplasia

and congenital dislocation, irritable hip (i.e. transient syn-

ovitis) and coxa vara, as well as excessive anteversion,

epiphysiolysis and osteochondritis (i.e. Legg–Calve–

Perthes disease). Each condition is studied thoroughly with

its clinical diagnosis, epidemiology, pathogenesis, diag-

nosis and classifications, including the recommended

treatments and complications. An inclusive and extensive

reference list can be found at the end of this broad chapter.

Chapter 6 is about hip traumas. Fractures of the femoral

head in children and adults as well as hip dislocations and

periprosthetic fractures are dealt with in succession. Each

sub-chapter is comprehensively covered with its classifi-

cations and surgical treatments. Illustrations and drawings

are of high quality.

Chapter 7 deals with non-traumatic hip conditions in

adults. The study begins with a thorough coverage of

osteoarthritis of the hip (including diagnostic and radio-

logical examinations, treatments, surgical approaches,

arthroplasties as well as complications); the next sections

are on rheumatoid arthritis, hip tuberculosis, metabolic and

nutritional disorders of the hip; haemophilia, Paget’s dis-

ease, meralgia, types of bursitis (great trochanter, psoas,

snapping hip) and aseptic necrosis of the femoral head are

also described.

Chapter 8 is devoted to hip arthroplasty providing at the

very beginning a wide historical background (from

Charnley and the cobalt-chrome alloy, to the brothers

Judget and acrylic cement, as well as Moore and Thomp-

son). Then indications are detailed based on clinical and

imaging findings. The different types of total hip prostheses

are described, including anterior and posterior approaches,

minimally invasive surgery, complications, advantages and

drawbacks of the various approaches. Hip prostheses

reoperations are presented in detail, in particular compli-

cations in ceramic-on-ceramic implants, loss of bone stock,

as well as the different surgical approaches, including

removal of cemented and uncemented femoral implants, of

acetabular components, femoral reconstruction in case of

cemented prosthesis, bone grafting, results and complica-

tions. The option of a one-step or two-step surgical pro-

cedure is also presented. A clinical case is described

& Pierre Kehr

pierre.kehr@gmail.com

1 Strasbourg, France

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Eur J Orthop Surg Traumatol (2017) 27:1027–1028

DOI 10.1007/s00590-017-1923-y

Author's personal copy

thoroughly in order to demonstrate the procedure, and

numerous colour pre- and post-operative pictures are pre-

sent. Chapter 8 ends with a gigantic list of bibliographical

references over the last thirty years.

Girdlestone resection arthroplasty of the hip, sometimes

the only option in reoperations, is the focus of chapter 9,

while chapter 10 deals with osteotomies around the hip.

They are classified according to their indications, location,

the main area of pain and the neurological conditions. The

authors provide full description of osteotomies, among

which Salter osteotomy, Pemberton osteotomy, innominate

Steel osteotomy, periacetabular (Ganz) osteotomy, Staheli

osteotomy, Chiari osteotomy, Schanz osteotomy, Lorenz

osteotomy, varus- and valgus-production osteotomy,

osteotomy for Blount’s disease, Sarmiento valgus osteot-

omy, McMurray’s osteotomy, Sugioka’s osteotomy are

also described.

Chapter 11 describes surface replacement techniques.

Chapter 12 covers minimally invasive hip arthroplasty

with an overview of patient-specific instrumentation,

potential advantages for the patient and selection of

patients eligible for these treatments; surgical approaches

are superbly illustrated with preoperative colour pho-

tographs. Extensive reference sections spanning between

the years 2001 and 2004 are included at the end of the

chapter.

Navigation is the focus of the short chapter 13. Methods

for navigation are described with their indications in total

arthroplasty or in surface replacement, as well as their

limitations.

Chapter 14 deals with tumours around the hip, presented

as follows: osteogenic tumours (such as bone islands,

osteoid osteoma, conventional osteosarcoma, periosteal

osteosarcoma and secondary or telangiectatic), comprising

Ewing sarcoma, cartilaginous tumours (osteochondroma

and chondrosarcoma), giant-cell tumours, fibrogenic

tumours, aneurysmal cyst, also focusing on Jaffe-Lichten-

stein fibrous dysplasia, angiosarcoma, hemangioma, mye-

loma, lymphoma, metastases and brown tumours. Paget’s

disease, alveolar soft part sarcomas and chordoma are also

reviewed. All these paragraphs are enriched with demon-

strative radiographs.

The book ends with chapter 15 illustrating hip arthro-

scopy, its description and indications, and a number of

examples are also given.

In conclusion, this book is truly a bible of the current

medical and surgical state of knowledge regarding hip

joint. It should be on the shelves of every specialist in the

field: orthopaedic surgeons, trauma surgeons, rheumatolo-

gists, may they be senior or in training, or at least it should

be accessible electronically.

In the electronic version examined, we regret the

absence of an index which would enable prompt access

according to keywords.

Compliance with ethical standards

Conflict of interest None.

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