The Well-Cemented Total Hip Arthroplasty Theory and Practice

Cemented Total Hip Arthroplasty (THA) remains one of the most successful procedures in Orthopaedic surgery. It has become very clear that it is the surgical expertise, in particular the quality of the cementing technique, which will affect long-term outco

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Steffen J. Breusch (Editor) Henrik Malchau (Editor)

The Well-Cemented Total Hip Arthroplasty Theory and Practice

With 521 Figures and 61 Tables

123

Breusch, Steffen M.D., PhD., FRCS Ed Consultant Orthopaedic Surgeon Part-time Senior Lecturer Orthopaedic Department University of Edinburgh New Royal Infirmary, Little France Edinburgh, EH16 4SU UNITED KINGDOM Malchau, Henrik M.D., PhD. Professor (vis.) at Harvard Medical School, Co-director: Orthopaedic Biomechanics and Biomaterials Laboratory Staff physician, Adult Reconstructive Unit, Orthopedic Department Massachusetts General Hospital 55 Fruit Street, GRJ 1126 Boston, Massachusetts 02114-2696 USA

ISBN-10 3-540-24197-3 Springer Berlin Heidelberg New York ISBN-13 978-3-540-24197-3 Springer Berlin Heidelberg New York Cataloging-in-Publication Data applied for A catalog record for this book is available from the Library of Congress. Bibliographic information published by Die Deutsche Bibliothek Die Deutsche Bibliothek lists this publication in the Deutsche Nationalbibliografie; detailed bibliographic data is available in the Internet at . This work is subject to copyright. All rights are reserved, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilm or in any other way, and storage in data banks. Duplication of this publication or parts thereof is permitted only under the provisions of the German copyright Law of September 9, 1965, in its current version, and permission for use must always be obtained from Springer Medizin Verlag. Violations are liable for prosecution under the German Copyright Law. Springer Medizin Verlag. A member of Springer Science+Business Media springer.de © Springer Medizin Verlag Heidelberg 2005 Printed in Germany The use of general descriptive names, registered names, trademarks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. Product liability: The publisher cannot guarantee the accuracy of any information about dosage and application thereof contained in this book. In every individual case the user must check such information by consulting the relevant literature. SPIN 11306535 Cover Design: deblik Berlin, Germany Typesetting: TypoStudio Tobias Schaedla, Heidelberg, Germany Printer: Stürtz, Würzburg, Germany Drawings in this book partly by Dr. Katja Dalkowski, Erlangen, Germany Printed on acid free paper

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This book is dedicated to the work and life of Sir John Charnley and to all patients undergoing total hip arthroplasty

»Those who cannot remember the past are condemned to repeat it« Santayana

In memoriam Thomas Günther from Springer, who unexpectedly died during this book project. He will be greatly missed.

VII

Forewords In the forty-six years since Sir John Charnley first advanced his a revolutionary concept of a totally arti