One Universal Approach — or a Split World?
The evolution and advancements in adult eeconstructive orthopedic surgery over the past 20 years have been tremendous. Total joint arthroplasty has been a major focus of this evolution, and has been recognized as being among the most medically beneficial and cost-effective surgical procedures in the history of modern medicine. The effectiveness of these procedures has been driven by concurrent and multifaceted developments in the basic science of bone and joint biomechanics, material science, manufacturing, surgical techniques and instrumentation, and clinical outcomes measurement. Innovative and forward thinking surgeons have been the catalysts for the process, and these individuals and groups have come from around the globe with very different cultural and educational backgrounds. A certain degree of “ownership” has permeated the process, creating a competitive spirit that has accelerated innovation, sparked creativity, and continually challenged the generalized acceptance of any single procedure, exposure, and/or implant design.
KeywordsHeterotopic Ossification Total Joint Arthroplasty Trochanteric Osteotomy Tensor Fascia Lata Direct Lateral Approach
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