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Low Friction Arthroplasty of the Hip

Theory and Practice

  • Book
  • © 1979

Overview

Authors:
  1. John Charnley

    1. University of Manchester, UK
      Centre for Hip Surgery, Wrightington Hospital, Wigan, Lancashire, England
      King Edward VII Hospital, Midhurst, Sussex, UK

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Table of contents (23 chapters)

  1. Front Matter

    Pages I-XII
    Download chapter PDF

  2. Introduction

    • John Charnley
    Pages 1-2

  3. Low Friction Principle

    • John Charnley
    Pages 3-15

  4. Organisation of Follow-Up

    • John Charnley
    Pages 16-19

  5. Numerical Grading of Clinical Results

    • John Charnley
    Pages 20-24

  6. Cement-Bone Interface

    • John Charnley
    Pages 25-40

  7. Long-Term Clinical Results

    • John Charnley
    Pages 41-65

  8. Long-Term Radiological Results

    • John Charnley
    Pages 66-90

  9. Hip Sockets — Theory

    • John Charnley
    Pages 91-106

  10. Types of LFA Hip Socket

    • John Charnley
    Pages 107-110

  11. Femoral Prostheses — Theory

    • John Charnley
    Pages 111-124

  12. Types of LFA Femoral Prostheses

    • John Charnley
    Pages 125-133

  13. Pre-operative Measurement of X-Rays

    • John Charnley
    Pages 134-139

  14. Detachment and Reattachment of the Great Trochanter

    • John Charnley
    Pages 140-151

  15. Clean Air Operating — Theory

    • John Charnley
    Pages 152-168

  16. Clean Air Operating — Practice

    • John Charnley
    Pages 169-183

  17. Technique of Low Friction Arthroplasty of the Hip

    • John Charnley
    Pages 185-289

  18. Femoral Neck-Length Jig

    • John Charnley
    Pages 290-301

  19. Post-operative Management

    • John Charnley
    Pages 302-307

  20. Thrombo-embolic Complications

    • John Charnley
    Pages 308-313
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Keywords

About this book

The theme of this work is the application of the engmeermg theory of frictional torque to total hip replacement. The author adhered tenaciously to this theory, involving the use of a small-diameter femoral head, throughout the epoch when the large-diame­ ter, metal-to-metal design dominated the field. During that considerable period general satisfaction with the early results rendered criticisms of the large-diameter head unwelcome. There was a formidable array of counter­ criticism: the small head would pierce a film of synovial fluid; the small head would wear the socket too rapidly; the small head would always have a high risk of dislocation; detachment of the trochanter, to achieve precise orientation for the small head, was unacceptable. But all these objections have now been largely overcome. Lubrication of high molecular weight polyethylene (HMWP) on metal is now accepted as being mainly by the boundary regime with thick fluid films playing no part. We now know that HMWP can indeed tolerate the very high stresses imposed by the small head and in tribological theory there may even be some advantage in high stress. Dislocation is now known not to be an automatic sequel to the small head.

Authors and Affiliations

  • University of Manchester, UK

    John Charnley

  • Centre for Hip Surgery, Wrightington Hospital, Wigan, Lancashire, England

    John Charnley

  • King Edward VII Hospital, Midhurst, Sussex, UK

    John Charnley

Bibliographic Information

  • Book Title: Low Friction Arthroplasty of the Hip

  • Book Subtitle: Theory and Practice

  • Authors: John Charnley

  • DOI: https://doi.org/10.1007/978-3-642-67013-8

  • Publisher: Springer Berlin, Heidelberg

  • eBook Packages: Springer Book Archive

  • Copyright Information: Springer-Verlag Berlin Heidelberg 1979

  • Softcover ISBN: 978-3-642-67015-2Published: 12 February 2012

  • eBook ISBN: 978-3-642-67013-8Published: 06 December 2012

  • Edition Number: 1

  • Number of Pages: X, 376

  • Topics: Orthopedics

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