By Renato Bombelli M.D., L.D. (auth.)
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Additional resources for Osteoarthritis of the Hip: Pathogenesis and Consequent Therapy
I ntL o shortening No pa in 110 30 0 0 0 0 0 20 0 16 -12 - - 75 3 years, 9 months after operation. Patient is happy with his hip and leads a normal life.
The osteophytes are not innervated and therefore the fulcrum is not painful. These compressed osteophytes (fulcrum) appear incongruous at first, but they are capable of being remodelled into good, functional weight-bearing tissue. In the long run they are molded by the active movement of the joint (Fig. 46). They hold the joint surfaces apart until new cartilages can regenerate on them. The space obtained between the lateral portion of the femoral head and the acetabulum becomes filled with synovial fluid.
Oblique roof osteophyte demonstrates oblique direction of force S. Tent and floor osteophyte are fused. I. Ca pital drop opposite to the tent osteophyte could make a good joint surface, if valgus osteotomy were to be performed. L. Mega-head and hypertrophic floor osteophyte. This last osteophyte must be removed to allow head to rotate, if valgus osteotomy is done. M. Molar tooth osteophyte, due to the fusion of tent and floor osteophyte. N. Tent osteophyte, similar to a column, extruding from fundus acetabuli.