This volume presents detailed information on surgically relevant anatomy and histology of the anterior cruciate ligament (ACL), biomechanics, diagnostics, and ACL reconstruction. In light of the growing body of evidence demonstrating the advantages of anatomic ACL reconstruction over traditional methods, there are also discussions of single anteromedial bundle reconstruction and anatomic ACL reconstruction with abundant descriptions of experimental and clinical studies. In addition, particular attention is given not only to techniques such as ACL augmentation, bone-patella tendon-bone reconstruction and computer-assisted navigation, but it also presents expert analysis of revision of ACL reconstruction, complications, and the future perspectives of ACL reconstruction. Edited by authoritative orthopedic surgeon from the Japanese Orthopaedic Society of Knee, Arthroscopy and Sports Medicine (JOSKAS), this book provides up-to-date information for orthopedic surgeons and physical therapistsspecializing in the ACL. The research evidence will broaden readers’ understanding and enable them to optimize outcomes for patients. As ACL rupture is a common injury especially for high-level athletes, it will also attract sports trainers and team physicians who are interested in a recent update on this field.

This volume presents detailed information on surgically relevant anatomy and histology of the anterior cruciate ligament (ACL), biomechanics, diagnostics, and ACL reconstruction. In light of the growing body of evidence demonstrating the advantages of anatomic ACL reconstruction over traditional methods, there are also discussions of single anteromedial bundle reconstruction and anatomic ACL reconstruction with abundant descriptions of experimental and clinical studies. In addition, particular attention is given not only to techniques such as ACL augmentation, bone-patella tendon-bone reconstruction and computer-assisted navigation, but it also presents expert analysis of revision of ACL reconstruction, complications, and the future perspectives of ACL reconstruction. Edited by authoritative orthopedic surgeon from the Japanese Orthopaedic Society of Knee, Arthroscopy and Sports Medicine (JOSKAS), this book provides up-to-date information for orthopedic surgeons and physical therapistsspecializing in the ACL. The research evidence will broaden readers’ understanding and enable them to optimize outcomes for patients. As ACL rupture is a common injury especially for high-level athletes, it will also attract sports trainers and team physicians who are interested in a recent update on this field.

This volume presents detailed information on surgically relevant anatomy and histology of the anterior cruciate ligament (ACL), biomechanics, diagnostics, and ACL reconstruction. In light of the growing body of evidence demonstrating the advantages of anatomic ACL reconstruction over traditional methods, there are also discussions of single anteromedial bundle reconstruction and anatomic ACL reconstruction with abundant descriptions of experimental and clinical studies. In addition, particular attention is given not only to techniques such as ACL augmentation, bone-patella tendon-bone reconstruction and computer-assisted navigation, but it also presents expert analysis of revision of ACL reconstruction, complications, and the future perspectives of ACL reconstruction. Edited by authoritative orthopedic surgeon from the Japanese Orthopaedic Society of Knee, Arthroscopy and Sports Medicine (JOSKAS), this book provides up-to-date information for orthopedic surgeons and physical therapists specializing in the ACL. The research evidence will broaden readers’ understanding and enable them to optimize outcomes for patients. As ACL rupture is a common injury especially for high-level athletes, it will also attract sports trainers and team physicians who are interested in a recent update on this field.

Surgical management of joint problems has progressed drama­ tically in the past few years. Clearer understanding of the patho­ genesis of joint disorders and recent additions to our knowledge of joint mechanics have mage formerly unimagined procedures possible. Moreover, tremendous advancement in implant tech­ nology offers us a wider variety of surgical procedures and a better chance of obtaining satisfactory results. At the same time, alternative bone-preserving procedures, such as osteotomy, in the weight-bearing joints are still of great significance in selected cases. In this context, it is clear that international collaboration and coordination of scientific endeavours is crucial. Over the last decade, thanks to the great assistance given by contributors to this book, we have tried to coordinate our endeavors on the interna­ tional level without being restricted to our own societies. There­ fore, it was fitting that the symposium was held in an effort to bring together experts in the field of joint surgery to share their specialized knowledge. We hoped that the free interchange of ideas would bring about an updated understanding and provide knowledge essential to the treatment of joint disease. KAzuSHI HIROHATA Table of Contents Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Part 1. Recent Advances and Problems in Total Joint Replacement Biomechanics of Endoprostheses of the Hip and Adaptive Reactions of the Bone B. KUMMER. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Management of Femoral Bone Stock Deficiency in Total Hip Replacement H. P. CHANDLER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 . . . . . . . . . . . . Bone Grafting ofAcetabular Deficiencies in Total Hip Replacement A. H. WILDE, B. N. STULBERG . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Surgical management of joint problems has progressed drama­ tically in the past few years. Clearer understanding of the patho­ genesis of joint disorders and recent additions to our knowledge of joint mechanics have mage formerly unimagined procedures possible. Moreover, tremendous advancement in implant tech­ nology offers us a wider variety of surgical procedures and a better chance of obtaining satisfactory results. At the same time, alternative bone-preserving procedures, such as osteotomy, in the weight-bearing joints are still of great significance in selected cases. In this context, it is clear that international collaboration and coordination of scientific endeavours is crucial. Over the last decade, thanks to the great assistance given by contributors to this book, we have tried to coordinate our endeavors on the interna­ tional level without being restricted to our own societies. There­ fore, it was fitting that the symposium was held in an effort to bring together experts in the field of joint surgery to share their specialized knowledge. We hoped that the free interchange of ideas would bring about an updated understanding and provide knowledge essential to the treatment of joint disease. KAzuSHI HIROHATA Table of Contents Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Part 1. Recent Advances and Problems in Total Joint Replacement Biomechanics of Endoprostheses of the Hip and Adaptive Reactions of the Bone B. KUMMER. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Management of Femoral Bone Stock Deficiency in Total Hip Replacement H. P. CHANDLER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 . . . . . . . . . . . . Bone Grafting ofAcetabular Deficiencies in Total Hip Replacement A. H. WILDE, B. N. STULBERG . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

This volume presents detailed information on surgically relevant anatomy and histology of the anterior cruciate ligament (ACL), biomechanics, diagnostics, and ACL reconstruction. In light of the growing body of evidence demonstrating the advantages of anatomic ACL reconstruction over traditional methods, there are also discussions of single anteromedial bundle reconstruction and anatomic ACL reconstruction with abundant descriptions of experimental and clinical studies. In addition, particular attention is given not only to techniques such as ACL augmentation, bone-patella tendon-bone reconstruction and computer-assisted navigation, but it also presents expert analysis of revision of ACL reconstruction, complications, and the future perspectives of ACL reconstruction. Edited by authoritative orthopedic surgeon from the Japanese Orthopaedic Society of Knee, Arthroscopy and Sports Medicine (JOSKAS), this book provides up-to-date information for orthopedic surgeons and physical therapistsspecializing in the ACL. The research evidence will broaden readers’ understanding and enable them to optimize outcomes for patients. As ACL rupture is a common injury especially for high-level athletes, it will also attract sports trainers and team physicians who are interested in a recent update on this field.

This volume presents detailed information on surgically relevant anatomy and histology of the anterior cruciate ligament (ACL), biomechanics, diagnostics, and ACL reconstruction. In light of the growing body of evidence demonstrating the advantages of anatomic ACL reconstruction over traditional methods, there are also discussions of single anteromedial bundle reconstruction and anatomic ACL reconstruction with abundant descriptions of experimental and clinical studies. In addition, particular attention is given not only to techniques such as ACL augmentation, bone-patella tendon-bone reconstruction and computer-assisted navigation, but it also presents expert analysis of revision of ACL reconstruction, complications, and the future perspectives of ACL reconstruction. Edited by authoritative orthopedic surgeon from the Japanese Orthopaedic Society of Knee, Arthroscopy and Sports Medicine (JOSKAS), this book provides up-to-date information for orthopedic surgeons and physical therapistsspecializing in the ACL. The research evidence will broaden readers’ understanding and enable them to optimize outcomes for patients. As ACL rupture is a common injury especially for high-level athletes, it will also attract sports trainers and team physicians who are interested in a recent update on this field.

This volume presents detailed information on surgically relevant anatomy and histology of the anterior cruciate ligament (ACL), biomechanics, diagnostics, and ACL reconstruction. In light of the growing body of evidence demonstrating the advantages of anatomic ACL reconstruction over traditional methods, there are also discussions of single anteromedial bundle reconstruction and anatomic ACL reconstruction with abundant descriptions of experimental and clinical studies. In addition, particular attention is given not only to techniques such as ACL augmentation, bone-patella tendon-bone reconstruction and computer-assisted navigation, but it also presents expert analysis of revision of ACL reconstruction, complications, and the future perspectives of ACL reconstruction. Edited by authoritative orthopedic surgeon from the Japanese Orthopaedic Society of Knee, Arthroscopy and Sports Medicine (JOSKAS), this book provides up-to-date information for orthopedic surgeons and physical therapists specializing in the ACL. The research evidence will broaden readers’ understanding and enable them to optimize outcomes for patients. As ACL rupture is a common injury especially for high-level athletes, it will also attract sports trainers and team physicians who are interested in a recent update on this field.

Surgical management of joint problems has progressed drama­ tically in the past few years. Clearer understanding of the patho­ genesis of joint disorders and recent additions to our knowledge of joint mechanics have mage formerly unimagined procedures possible. Moreover, tremendous advancement in implant tech­ nology offers us a wider variety of surgical procedures and a better chance of obtaining satisfactory results. At the same time, alternative bone-preserving procedures, such as osteotomy, in the weight-bearing joints are still of great significance in selected cases. In this context, it is clear that international collaboration and coordination of scientific endeavours is crucial. Over the last decade, thanks to the great assistance given by contributors to this book, we have tried to coordinate our endeavors on the interna­ tional level without being restricted to our own societies. There­ fore, it was fitting that the symposium was held in an effort to bring together experts in the field of joint surgery to share their specialized knowledge. We hoped that the free interchange of ideas would bring about an updated understanding and provide knowledge essential to the treatment of joint disease. KAzuSHI HIROHATA Table of Contents Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Part 1. Recent Advances and Problems in Total Joint Replacement Biomechanics of Endoprostheses of the Hip and Adaptive Reactions of the Bone B. KUMMER. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Management of Femoral Bone Stock Deficiency in Total Hip Replacement H. P. CHANDLER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 . . . . . . . . . . . . Bone Grafting ofAcetabular Deficiencies in Total Hip Replacement A. H. WILDE, B. N. STULBERG . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Surgical management of joint problems has progressed drama­ tically in the past few years. Clearer understanding of the patho­ genesis of joint disorders and recent additions to our knowledge of joint mechanics have mage formerly unimagined procedures possible. Moreover, tremendous advancement in implant tech­ nology offers us a wider variety of surgical procedures and a better chance of obtaining satisfactory results. At the same time, alternative bone-preserving procedures, such as osteotomy, in the weight-bearing joints are still of great significance in selected cases. In this context, it is clear that international collaboration and coordination of scientific endeavours is crucial. Over the last decade, thanks to the great assistance given by contributors to this book, we have tried to coordinate our endeavors on the interna­ tional level without being restricted to our own societies. There­ fore, it was fitting that the symposium was held in an effort to bring together experts in the field of joint surgery to share their specialized knowledge. We hoped that the free interchange of ideas would bring about an updated understanding and provide knowledge essential to the treatment of joint disease. KAzuSHI HIROHATA Table of Contents Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Part 1. Recent Advances and Problems in Total Joint Replacement Biomechanics of Endoprostheses of the Hip and Adaptive Reactions of the Bone B. KUMMER. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Management of Femoral Bone Stock Deficiency in Total Hip Replacement H. P. CHANDLER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 . . . . . . . . . . . . Bone Grafting ofAcetabular Deficiencies in Total Hip Replacement A. H. WILDE, B. N. STULBERG . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .