Table Of ContentChangqing Zhang
Editor
Hip Surgery
A Practical Guide
123
Hip Surgery
Changqing Zhang
Editor
Hip Surgery
A Practical Guide
Editor
Changqing Zhang
Department of Orthopaedic Surgery
Shanghai Jiao Tong University
Shanghai
China
ISBN 978-981-15-9330-7 ISBN 978-981-15-9331-4 (eBook)
https://doi.org/10.1007/978-981-15-9331-4
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Preface
Before the description of the surgery of the hip, I would like to detail some experience and
ponderation during the diagnosis and treatment of osteonecrosis of the femoral head. Back in
1999, it occurred to me that whether it can be possible to broaden the application of microsur-
gery to the treatment against both common and rare diseases? Once a breakthrough happens in
clinic, it would not only promote the development of associated disciplines, but also benefit a
significant number of afflicted patients. Based on this careful deliberation, I tended to focus on
the effective treatment of osteonecrosis of the femoral head. Nowadays, artificial joint technol-
ogy has been significantly developed; hence, it is obviously necessary for young and most
middle-aged people to preserve their hip joints for the functional recovery towards normal
stage based on the clinic demand and efficacy. The free vascularized fibular grafting technique
invented by our predecessors Chen Zhongwei, Yu Zhongjia, Zeng Bingfang, and other ortho-
pedic pioneers had been applied in the restoration of various bone tissues, yet exclusive of the
reestablishment of the femoral head. This strategy was implemented by American Dr. Urbannic
to treat osteonecrosis of the femoral head and achieved remarkable efficacy in practice.
However, it required complicated operative techniques plus the collaboration of two groups of
specialized doctors. Therefore, based on this discovery, we embarked on long endless clinical
exploration. After the persistent inheritance and practice, we significantly shortened the con-
ventional minimal fibular extraction time from 40 minutes to 10–15 minutes; the novel anterior
medial hip operative approach was also devised by us to expose blood vessels and clean femo-
ral head necrosis more completely, realizing the intraoperative possibility of fibular extraction
easily. One or two hours by one single group of orthopedic doctors were enough to accomplish
the entire operation procedures. With the progress of both diagnosis and treatment of femoral
head osteonecrosis, patients suffering from a variety of difficult diseases were followed; one of
them was the nonunion of femoral neck fracture. In terms of the nonunion of femoral neck, we
established the modified fibular grafting technique with internal fixation. Osteotomy, ortho-
morphia, and other orthopedic techniques were also performed to treat various femoral head
diseases such as femoral head deformity and teenage osteoarthritis, which enlarged the scope
of surgical operation effectively.
The development of clinic technology was associated with the increased demands of
patients. The research about the diagnosis and treatment of femoral head osteonecrosis in
recent years enabled me to feel intently that all kinds of diseases were not separated. If patients
had felt pain in hip joint, latent possibilities emerged as hip joint disorder, or waist diseases, or
even traumatic pain. The greatest benefits could be acquired by patients only after systematic
clinic diagnosis and treatment. Meanwhile, we orthopedic doctors should recognize clearly
that our objective was to provide a complete and systematic diagnostic and treatment strategy
for patients. The reason our book was named as Surgery of the Hip rather than “Surgery of the
hip joint” was exactly led by above consideration. We hoped to help our readers grasp system-
atically what kind of trauma would occur in this hip anatomic area. What kind of disease it
would be? Why was there pain and discomfort? We aimed at helping our readers to acquire the
relevant surgical techniques from the book, and expected orthopedic specialists to understand
v
vi Preface
the connections between topographic anatomy and the pathophysiology of hip diseases, so as
to comprehend the overall diagnosis and treatment of such diseases completely and
systematically.
Shanghai, China Changqing Zhang
January 2018
Editor’s List
• Editor in chief
Changqing Zhang
Shanghai Jiao Tong University Affiliated Sixth People’s Hospital, Shanghai, China
• Editors
Bing Hu
Department of Ultrasound in Medicine, Shanghai Jiao Tong University Affliated Sixth
People’s Hospital, Shanghai, China
Zongyuan Cai
Department of Orthopedic Surgery, Shanghai Jiao Tong University Affiliated Sixth People’s
Hospital, Shanghai 200233, China
Bochang Chen
Shanghai Jiao Tong University Affiliated Sixth People’s Hospital, Shanghai, China
Jie Chen
Shanghai Jiao Tong University Affiliated Sixth People’s Hospital, Shanghai, China
Shengbao Chen
Shanghai Jiaotong University Affiliated Sixth People’s Hospital, Shanghai, China
Shengming Dai
Department of Orthopedic SurgeryShanghai Jiao Tong University Affiliated Sixth People’s
HospitalShanghai 200233, China
Dajiang Du
Shanghai Jiao Tong University Affiliated Sixth People’s Hospital, Shanghai, China
Bochang Chen
Department of Orthopedics, Shanghai Jiao Tong University Affiliated Sixth People’s
Hospital, Shanghai, China
Youshui Gao
Department of Orthopedics, Shanghai Jiao Tong University Affiliated Sixth People’s
Hospital, Shanghai, China
Junjie Guan
Department of Orthopedics, Shanghai Jiao Tong University Affiliated Sixth People’s
Hospital, Shanghai, China
PeiJun Xu
Shanghai Jiao Tong University Affiliated Sixth People’s Hospital, Shanghai, China
Hai Hu
Department of Orthopedic Surgery, Shanghai Jiao Tong University Affiliated Sixth People’s
Hospital, Shanghai 200233, China
vii
viii Editor’s List
Yigang Huang
Department of Orthopaedic Surgery, Shanghai Jiao Tong University Affiliated Sixth
People’s Hospital, Shanghai, China
Weitao Jia
Department of Orthopedics, Shanghai Jiao Tong University Affiliated Sixth People’s
Hospital, Shanghai, China
Dongxu Jin
Department of Orthopedics, Shanghai Jiao Tong University Affiliated Sixth People’s
Hospital, Shanghai, China
Guangyi Li
Department of Orthopedic Surgery, Shanghai Jiao Tong University Affiliated Sixth People’s
HospitalShanghai 200233, China
Sen Lin
Department of Orthopedics, Shanghai Jiao Tong University Affiliated Sixth People’s
Hospital, Shanghai, China
Jiagen Sheng
Department of Orthopedics, Shanghai Jiao Tong University Affiliated Sixth People’s
Hospital, Shanghai, China
Hui Sun
Department of Orthopedic Surgery, Shanghai Jiao Tong University Affiliated Sixth People’s
Hospital, Shanghai, China
Hao Wu
Department of Orthopedics, Qianfoshan Hospital Shandong Provine, China
Zongping Xie
Department of Orthopedics, Shanghai Jiao Tong University Affiliated Sixth People’s
Hospital, Shanghai, China
Qingcheng Yang
Shanghai Jiao Tong University Affiliated Sixth People’s HospitalShanghai, China
Weiwu Yao
Department of Orthopedic Surgery, Shanghai Jiao Tong University Affiliated Sixth People’s
Hospital, Shanghai, China
Jimin Yin
Shanghai Jiao Tong University Affiliated Sixth People’s HospitalShanghai, China
Yong Feng
Shanghai Jiaotong University Affiliated Sixth People’s Hospital, Shanghai, China
Ting Yuan
Department of Orthopedic Surgery, Shanghai Jiao Tong University Affiliated Sixth People’s
Hospital, Shanghai 200233, China
Shi Zhan
Department of Orthopedic Surgery, Shanghai Jiao Tong University Affiliated Sixth People’s
Hospital, Shanghai 200233, China
Changqing Zhang
Department of Orthopedics, Shanghai Jiao Tong University Affiliated Sixth People’s
Hospital, Shanghai, China
Wei Zhang
Department of Orthopedic SurgeryShanghai Jiao Tong University Affiliated Sixth People’s
HospitalShanghai 200233, China
Zhichang Zhang
Shanghai Jiaotong University Affiliated Sixth People’s Hospital, Shanghai, China
Editor’s List ix
Zhenzhong Zhu
Department of Orthopedics, Shanghai Jiao Tong University Affiliated Sixth People’s
Hospital, Shanghai, China
• Editor’s Secretary
Chun Chen
Secretary of Department of Orthopedics, Shanghai Jiao Tong University Affiliated Sixth
People’s Hospital, Shanghai, China
Acknowledgments
Great appreciation goes to my teachers and mentors, to whom I am deeply grateful. None of
these can happen without their support.
I want to express my thanks to many of my colleagues and students. We learn from each
other and move forward together.
Last but not least, I would like to thank my family, my wife and my kids for all the love and
support.
xi
