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2 13MASTER TECHNIQUES IN ORTHOPAEDIC SURGERY Editor-in-Chief Bernard F. Morrey, M.D. Founding Editor Roby C. Thompson, Jr., M.D. Volume Editors SURGICAL EXPOSURES Bernard F. Morrey PEDIATRICS Vernon T. Tolo David L. Skaggs SOFT TISSUE SURGERY William Cooney Steven L. Moran FRACTURES Donald A. Wiss, M.D. THE HAND James Strickland, M.D. Thomas Graham, M.D. THE SPINE David S. Bradford, M.D. Thomas L. Zdeblick, M.D. THE SHOULDER Edward V. Craig, M.D. RECONSTRUCTIVE KNEE SURGERY Douglas W. Jackson, M.D. KNEE ARTHROPLASTY Paul A. Lotke, M.D. Jess H. Lonner, M.D. THE WRIST Richard H. Gelberman, M.D. THE FOOT & ANKLE Harold B. Kitaoka, M.D. THE ELBOW Bernard F. Morrey, M.D.

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5 13THE HIP Second Edition Editors ROBERT L. BARRACK, M.D. Charles and Joanne Knight Distinguished Professor of Orthopaedic Surgery Washington University School of Medicine St. Louis, Missouri AARON G. ROSENBERG, M.D. Midwest Orthopaedics Chicago, Illinois Illustrators Jennifer E. Fairman, CMI Hugh Thomas

6 13Acquisitions Editor: Robert Hurley Developmental Editor: Grace R. Caputo, Dovetail Content Solutions Managing Editor: Michelle M. LaPlante Manufacturing Manager: Ben Rivera Marketing Director: Sharon Zinner Project Manager: Fran Gunning Production Services: Maryland Composition Printer: Quebecor World-Kingsport by Lippincott Williams & Wilkins by Lippincott-Raven Publishers 530 Walnut Street Philadelphia, PA All rights reserved. This book is protected by copyright. No part of this book may be reproduced in any form or by any means, including photocopying, or utilizing by any information storage and retrieval system without written permission from the copyright owner. The publisher is not responsible (as a matter of product liability, negligence or otherwise) for an injury resulting from any material contained herein. This publication contains information relating to general principles of medical care which should not be constructed as specific instruction for individual patients. Manufacturer ｯs product information should be reviewed for current information, including contraindications, dosages, and precautions. Printed in the United States Library of Congress Cataloging-in-Publication Data The hip / editor, Robert L. Barrack ; illustrators, Jennifer Fairman, Hugh Thomas ｪ 2nd ed. p. ; cm. ｪ (Master techniques in orthopaedic surgery) Includes bibliographical references and index. ISBN (alk. paper) 1. Hip ｪSurgery. I. Barrack, Robert L. II. Series: Master techniques in orthopaedic surgery (2nd ed.) [DNLM: 1. Hip ｪsurgery. 2. Hip Joint ｪsurgery. 3. Hip Fractures ｪsurgery. 4. Hip Prosthesis. 5. Orthopedic Procedures ｪmethods. WE 855 H ] RD549.H ｪdc22 The publishers have made every effort to trace copyright holders for borrowed material. If they have inadvertently overlooked any, they will be pleased tomake the necessary arrangements at the first opportunity. To purchase additional copies of this book, call our customer service department at (800) or fax orders to (301) For other book services, including chapter reprints and large quantity sales, ask for the Special Sales department. For all other calls originating outside of the United States, please call (301) Visit Lippincott Williams & Wilkins on the Internet: Lippincott Williams & Wilkins customer srrvice representatives are available from 8:30 am to 6:30 pm, EST, Monday through Friday, for telephone access

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8 13viii 096ﾑ806ｦﾐ6ﾑ801 ﾌ096ﾑ803 ﾞ 096ﾑ806 ﾌ6ｾ4 III 016ﾑ8ｦﾐ06 ﾌ0806 罔ﾐ ﾒ6ﾑ86ｾ4 6ﾑ8096ﾑ80908 ﾞ6ｾ46ﾑ8ｦﾐ6ｾ4 6ｾ46ﾒ2 ﾌ ｦﾐ6ｾ401ｦﾐ ﾌ 6ﾑ8 ﾒ6ﾒ2 ﾌ6ｾ4 6ﾒ2 ﾇ6ｾ4 ﾞ ﾌ09 ﾞ6ｾ46ﾒ2ｦﾐ ﾒ ﾇ6ｾ4 ﾒ ﾌ ｧ ｸ ｧ9080ｸ7 103 Richard F. Santore Thomas R. Turgeon ﾒ ﾌ ｧ ｹ0 ﾒ08026ｦ003090ｹ0 125 Robert T. Trousdale ﾒ ﾞ apple06026ｧ ｸ ｧ ｸ7 ｦﾐ04046ｧ9080ｸ7 131 Joseph C. McCarthy Jo-ann Lee ﾒ ﾞ030303fi : ﾇ 6ﾒ ｧ8 Vancouver 141 Clive P. Duncan, Robert W. McGraw, Christopher P. Beauchamp 096ﾑ806 ﾌ6ｾ4 IV 016ﾑ8ｦﾐ06 ﾌ0806 罔ﾐ ﾒ ﾇ 056ﾑ806 ﾞ096ﾑ8ｦﾐ ﾞ 6ﾒ2 ﾇ6ｾ4 ｦﾐ6ｾ401 ﾞｦﾐ09ｦﾐ ﾒ ﾇ6ｾ4 036ﾑ8 ﾒ06036ｾ4 ﾇ6ｾ4 6ﾒ2 ﾇ6ｾ4 09 ﾇ06ｦﾐ ﾞｦﾐ ﾞ6ｾ4 ﾒ6ﾑ802 ﾞ ﾇ6ｾ4 ﾒ ﾇ apple ｧ8 153 Thomas Schmalzried John Antoniades ﾒ ﾞapple08040ｸ700apple6ｧ ﾞ ｦ ﾌ fi 09fi ｸ Hari P. Bezwada, Phillip S. Ragland, Craig M. Thomas, Michael A. Mont 096ﾑ806 ﾌ6ｾ4 V ﾒ2 ﾌ 縺6ﾑ803H6ｾ4 O IKH ﾞ ﾌ09 ﾞ6ｾ46ﾒ2ｦﾐ ﾒ ﾇ 6ﾒ2 ﾌ08 ｦﾐ6ｾ401ｦﾐ ﾌ08 ﾒ 閨0ｹ0 ﾞ0304 閨0ｹ0, 6ｾ fi0ｹ0, apple006ｧ9 177 Robert L. Barrack Shawn J. Nakamura 6ﾒ209 ﾇ09 ﾞ A ﾇ 09 ﾇ06ｦﾐ ﾞｦﾐ ﾞ 0906 ﾌ056ﾑ86ｾ4 ﾇ ﾒ ｧ9 0903fi ﾒ 閨 John J. Callaghan, Steve S. Liu, David A. Vittetoe, Lucian C. Warth ﾒ ｧ9 0903fi ｧ ﾑ8apple ｸ Andrew H. Glassman

9 13096ﾑ806ｦﾐ6ﾑ801 ﾌ096ﾑ803 ﾞ ix ﾒ ﾌ ﾒ0ｷ fi0ｹ0 6ｾ fi0ｹ0 237 Peter F. Sharkey Frazer A. Wade ﾒ ﾇ 6ｾ40ｸ ｦ ｧ9 0903fi ｾ40ｸ ｧ ｸ7 ｦﾐ04046ｧ9080ｸ7 249 David A. Mattingly ﾒ ｧ9 0903fi ﾒ ｧ ﾑ8apple ｸ David W. Manning, Dennis W. Burke, Harry E. Rubash 6ﾒ209 ﾇ09 ﾞ B ﾇ ﾒ ﾌ6ﾒ208 ﾇ ﾒ fi ﾒ08026ｦ003090ｹ ﾒ 閨 Amar S. Ranawat Chitranjan S. Ranawat ﾒ fi ﾒ08026ｦ003090ｹ ﾑ8apple ｸ Douglas E. Padgett Alejandro Gonza ｯlez Della Valle 096ﾑ806 ﾌ6ｾ4 VI ﾞ03 ﾞ056ﾑ80306 ﾇ6ｾ4 ﾇ ﾌ ｦﾐ ﾒ ﾇ6ｾ4 ﾞ ﾌ09 ﾞ6ｾ46ﾒ2ｦﾐ ﾒ ﾇ6ｾ4 6ﾒ2 ﾌ08 ｦﾐ6ｾ401ｦﾐ ﾌ08 ﾒ 閨0ｹ0 ﾞ0304 閨0ｹ0, 6ｾ fi0ｹ0, apple006ｧ9 297 R. Stephen J. Burnett, Aaron G. Rosenberg, Robert L. Barrack ﾒ ﾞ08 6ｧ ｷ 閨04000ｷ Craig J. Della Valle 6ﾒ209 ﾇ09 ﾞ A 09 ﾇ06ｦﾐ ﾞｦﾐ6ﾑ86ｾ ﾌ056ﾑ86ｾ46ﾑ8ｦﾐ6ｾ4 ﾞ03 ﾞ056ﾑ80306 ﾇ6ｾ4 ﾇ6ｾ4 ﾒ ｧ9000ｹ 閨 ｹ ｦ0 6ｾ fi ﾒ 閨 Donald W. Howie Andrew D. MacDowell ﾒ ｾ40ｸ ｦ ｹ ｧ9000ｹ 閨 ｹ0 345 Craig J. Della Valle ﾒ ｧ9000ｹ 閨 ｹ0 040ｷ3036ｧ90ｹ0 6ﾒ 閨 ( ｧ ﾑ8apple ｸ76 709) 357 Mark Barba Wayne G. Paprosky

10 13x 096ﾑ806ｦﾐ6ﾑ801 ﾌ096ﾑ803 ﾞ ﾒ ｦ : 6ﾒ ｧ ｷ304090ｹ ｸ ｷ ﾞ ｦ John Charity, Anthony D. Lamberton, Graham A. Gie, Andrew John Timperley ﾒ ｾ46ｦ ｹ 閨 ｹ ﾞ fi ｸ Allan E. Gross ﾒ apple 閨 ｹ0: 6ﾒ ｧ ﾌ ｧ8 ﾞ ｸ ｧ9080ｸ7 397 Javad Parvizi Franklin H. Sim 6ﾒ209 ﾇ09 ﾞ B A03 ﾞ056ﾑ80306 ﾇ6ｾ4 ﾇ 6ﾒ2 ﾇ6ｾ4 ﾒ ﾌ6ﾒ208 ﾇ6ｾ4 ﾒ ﾞ ｹ0 ﾒ08026ｦ003090ｹ0 040ｷ3036ｧ90ｹ0 6ﾒ 閨 R. Michael Meneghini, David G. Lewallen, Arlen D. Hanssen ﾒ ﾞ ｹ0 ﾒ08026ｦ003090ｹ fi ﾞ fi ｸ Michael R. O ｯRourke, Scott Sporer, Wayne G. Paprosky ﾒ ﾒ030ｷ ｧ9439 Daniel J. Berry ﾒ ﾞ ｹ0 ﾒ08026ｦ003090ｹ0: ﾞ ｷ3apple6ｧ9ｨB ｹ ﾌ040200fi030ｸ R. Stephen J. Burnett John C. Clohisy 096ﾑ806 ﾌ6ｾ4 VII 6ﾑ8ｦﾐ04ｦﾐ ﾒ6ﾑ86ｾ4 6ﾒ26ﾑ80103ｦﾐ ﾒ6ﾑ86ｾ4 ﾒ ﾇ 0903fi PROSTALAC ﾞ apple ｧ9000ｷ301090ｹ ｹ0 ﾞ apple ｧ80ｹ ｸ7 ｦﾐ04046ｧ9080ｸ7 465 Finnbar Condon, Bassam A. Masri, Donald S. Garbuz, Clive P. Duncan

11 136ｾ ﾑ86ﾒ26ﾑ801 ﾌ036ﾒ26ﾑ86ｾ4 John Antonaides, M.D. Joint Replacement Institute, Orthopaedic Hospital, Los Angeles, California Michael J. Archibeck, M.D. New Mexico Center for Joint Replacement, New Mexico Orthopaedics, Albequerque, New Mexico Mark Barba Department of Orthopedics, OSF Saint Anthony Medical Center, Rockford Orthopedic Associates, Rockford, Illinois Robert L. Barrack, M.D. The Charles F. and Joanne Knight Distinguished Professor of Orthopaedic Surgery, Department of Orthopaedic Surgery, Washington University School of Medicine; Chief of Staff for Orthopaedic Surgery, Director of Adult Reconstructive Surgery, Barnes-Jewish Hospital, St. Louis, Missouri Christopher P. Beauchamp Orthopaedic Department, Mayo Clinic, Scottsdale, Arizona Richard A. Berger, M.D. Assistant Professor of Orthopaedics, Rush University Medical Center, Chicago, Illinois Daniel J. Berry, M.D. Professor of Orthopaedics, Mayo Clinic College of Medicine; Chair, Department of Orthopaedic Surgery, Mayo Clinic, Rochester, Minnesota Hari P. Bezwada, M.D. Assitant Clinical Professor of Orthopaedic Surgery, University of Pennsylvania School of Medicine, PENN Orthopaedics, Pennsylvania Hospital, Philadelphia, Pennsylvania Dennis W. Burke, M.D. Clinical Instructor, Harvard Medical School, Boston, Massachusetts R. Stephen J. Burnett, M.D. Department of Orthopaedic Surgery, Washington University in St. Louis, Barnes-Jewish Hospital, Barnes-Jewish West County Hospital, St. Louis VA Medical Center, St. Louis, Missouri John J. Callaghan, M.D. The Lawrence and Marilyn Dorr Chair and Professor, University of Iowa Health Care, Iowa City, Iowa John Charity, M.D. Orthopaedic Fellow (Hip Unit), Princess Elizabeth Orthopaedic Centre, Royal Devon and Exeter Hospital, Exeter, UK John C. Clohisy, M.D. Associate Professor of Orthopaedic Surgery, Co-Chief, Adult Reconstructive Surgery, Barnes-Jewish Hospital, Washington University School of Medicine, St. Louis, Missouri Finnbar Condon, F.R.C.S., MCh Consultant Orthopaedic Surgeon, Regional Othopaedic Hospital, Croom, County Limerick, Ireland Alejandro Gonzｨ lez Della Valle, M.D. Assistant Professor of Orthopaedic Surgery, Weill Cornell Medical College, Hospital for Special Surgery, New York, New York Craig J. Della Valle, M.D. Assistant Professor, Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois Clive P. Duncan, M.D., F.A.C.S. Professor and Chairman, Department of Orthopaedic Surgery; Head, Department of Orthopaedics, University of British Columbia, Vancouver Hospital and Health Sciences Center, Vancouver, British Columbia, Canada Donald S. Garbuz, M.D. M.H.S. Assistant Professor, Division of Lower Limb Reconstruction and Oncology, Department of Orthopaedics, University of British Columbia, Vancouver, British Columbia, Canada xi

12 13xii Graham A. Gie, M.B.CH.B., F.R.C.S.Ed Hip Unit, Princess Elizabeth Orthopaedic Centre, Royal Devon and Exeter Hospital, Exeter, United Kingdom Andrew Glassman, M.D., M.S. Associate Professor of Orthopaedic Surgery, Department of Orthopaedic Surgery, Ohio State University College of Medicine; Director, Total Joint Replacement Service, Ohio State University Medical Center; Staff Surgeon, The Halley-Glassman Orthopaedic Clinic, Columbus, Ohio Allan E. Gross, M.D., F.R.C.S.C. Orthopaedic Surgeon, Division of Orthopaedic Surgery, Department of Surgery, Bernard I. Ghert Family Foundation; Chair, Lower Extremity Reconstructive Surgery, Mount Sinai Hospital, Professor of Surgery, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada Arlen D. Hanssen, M.D. Professor, Department of Orthopedic Surgery, Mayo Medical School; Consultant, Department of Orthopaedic Surgery, Mayo Clinic, Rochester, Minnesota Sanaz Hariri, M.D. Resident, Harvard Combined Orthopedic Surgery Program, Boston, Massachusetts Donald W. Howie, M.B.B.S, Ph.D., F.R.A.C.S. Professor and Head, Department of Orthopaedics and Trauma, University of Adelaide; Clinical Director, Orthopaedic and Trauma Service, Royal Adelaide Hospital, Adelaide, South Australia, Australia Waqqar Khan-Farooqi, M.D. Chief Resident, Department of Orthopaedics and Sports Medicine, University of Washington, Seattle, Washington Anthony D. Lamberton, MBChB, F.R.A.C.S. (Orth) Orthopaedic Surgeon, Tauranga Hospital, Tauranga, New Zealand Jo-ann Lee, MS Nurse Practitioner, New England Baptist Hospital, Boston, Massachusetts Seth S. Leopold, M.D. Associate Professor, Department of Orthopaedics and Sports Medicine, University of Washington School of Medicine, Seattle, Washington David G. Lewallen, M.D. Professor, Department of Orthopedic Surgery, Mayo Medical School; Consultant, Department of Orthopaedic Surgery, Mayo Clinic, Rochester, Minnesota Andrew D. MacDowell, M.D. Arthroplasty Fellow, Department of Orthopaedics and Trauma, Royal Adelaide Hospital and University of Adelaide, Adelaide, South Australia, Australia David W. Manning, M.D. Assistant Professor, Division of Orthopaedic Surgery, Department of Surgery, University of Chicago, Chicago, Illinois Bassam A. Masri, M.D. Associate Professor and Head, Division of Lower Limb Reconstruction and Oncology, Department of Orthopaedics, University of British Columbia, Vancouver, British Columbia, Canada David Mattingly, M.D. Associate Clinical Professor of Orthopaedic Surgery, Tufts University School of Medicine; Department of Orthopaedic Surgery, New England Baptist Hospital, Boston, Massachusetts Joseph C. McCarthy, M.D. Clinical Professor of Orthopaedic Surgery, Tufts University, New England Baptist Hospital, Boston, Massachusetts Robert W. McGraw, M.D. Vancouver Hospital HSC, Vancouver, British Columbia, Canada R. Michael Meneghini, M.D. St. Vincent Center for Joint Replacement, St. Vincent Hospital, Indianapolis, Indiana Michael A. Mont, M.D. Sinai Hospital of Baltimore, Baltimore, Maryland Maurice E. Mｨｹeller Lindenhof Hospital Bern, Switzerland Shawn J. Nakamura, M.D. Orthopaedic Surgeon, Austin Medical Center, Mayo Health System, Austin, Minnesota 6ｾ ﾑ86ﾒ26ﾑ801 ﾌ036ﾒ26ﾑ86ｾ4 Michael R. O ｯRourke, M.D. Assistant Professor, Department of Orthopaedics and Rehabilitation, University of Iowa Hospitals and Clinics, Iowa City, Iowa Douglas E. Padgett, M.D. Associate Professor of Orthopaedic Surgery, Weill Cornell Medical College, Hospital for Special Surgery, New York, New York Steve S. Liu, M.D. University of Iowa Health Care, Iowa City, Iowa

13 136ｾ ﾑ86ﾒ26ﾑ801 ﾌ036ﾒ26ﾑ86ｾ4 Wayne G. Paprosky, M.D. Associate Professor, Rush Medical College, Rush-Presbyterian-St. Luke ｯs Medical Center, Chicago, Illinois; Staff Orthopaedic Surgeon Department of Adult Reconstructive Surgery Central DuPage Hospital, Winfield, Illinois Javad Parvizi, M.D., F.R.C.S Associate Professor, Department of Orthopaedic Surgery, Rothman Institute, Thomas Jefferson University, Philadelphia, Pennsylvania Paul J. P. Pongor, M.D. Instructor in Surgery, Director of Orthopaedic Registry, Department of Surgery, Beth Israel Deaconess Hospital, New England Baptist Hospital, Boston, Massachusetts Phillip S. Ragland, M.D. Center for Joint Preservation and Reconstruction, Rubin Institute for Advanced Orthopaedics, Sinai Hospital of Baltimore, Baltimore, Maryland Amar S. Ranawat, M.D. Attending Orthopaedic Surgeon, Department of Orthopaedic Surgery, Lenox Hill Hospital, New York, New York Chitranjan S. Ranawat, M.D. The James A. Nicholas Chairman, Department of Orthopaedic Surgery, Lenox Hill Hospital, New York, New York Aaron G. Rosenberg, M.D. Midwest Orthopaedics Chicago, Illinois Harry E. Rubash, M.D. Chief of Orthopaedic Surgery, Massachusetts General Hospital; Edith M. Ashley Professor, Harvard Medical School, Boston, Massachusetts Richard F. Santore, M.D. Clinical Professor of Orthopaedic Surgery, University of California, San Diego; Senior Orthopaedic Surgeon, Sharp Memorial Hospital, San Diego, California Thomas P. Schmalzried, M.D. Associate Medical Director, Joint Replacement Institute, Los Angeles, California; Chief of Joint Replacement, Harbor- UCLA Medical Center, Torrance, California Peter F. Sharkey, M.D. Professor, Department of Orthopaedic Surgery, Rothman Institute, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania Craig D. Silverton, D.O., Lt Col, U.S.A.F. Reserves Chief, Adult Reconstruction, Department of Orthopaedics Henry Ford Hospital, Detroit, Michigan; Wilford Hall Medical Center (USAF), Lackland AFB, Texas Franklin H. Sim, M.D. Department of Orthopedic Surgery, Mayo Clinic College of Medicine, Rochester, Minnesota Scott Sporer, M.D. Rush University, Chicago, Illinois; Central DuPage Hospital, Winfield, Illinois Craig M. Thomas, M.D. Center for Joint Preservation and Reconstruction, Rubin Institute for Advanced Orthopaedics, Sinai Hospital of Baltimore, Baltimore, Maryland Andrew John Timperley, M.B., ChB, F.R.C.S. Ed Hip Unit, Princess Elizabeth Orthopaedic Centre, Royal Devon and Exeter Hospital, Exeter, United Kingdom Robert T. Trousdale, M.D. Professor of Orthopaedics, Mayo Graduate School of Medicine, Rochester, Minnesota Thomas R. Turgeon, M.D. Assistant Professor, Department of Surgery, University of Manitoba, Concordia Hospital, Winnipeg, Manitoba, Canada David A. Vittetoe, M.D. Des Moines Orthopaedic Surgeons, West Des Moines, Iowa Frazer E. Wade, F.R.C.S.(Ed), F.R.C.S.(Tr&Orth) Consultant Orthopaedic Surgeon, Royal Infirmary of Edinburgh, Edinburgh, United Kingdom Lucian C. Warth, M.D. University of Iowa Health Care, Iowa City, Iowa xiii Richard E. White, Jr., M.D. Medical Director, New Mexico Center for Joint Replacement Surgery, New Mexico Orthopaedics, Albuquerque, New Mexico

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15 ﾌ ﾌ 罍ﾌ6ｾ4 6ﾒ2 ﾇ6ｾ4 6ｾ46ﾑ8ｦﾐ06 ﾞ6ｾ4 ﾞapplefi apple ｸ ｧ ｹ ｹ0 Master Techniques in Orthopaedic Surgery , 0ｸ7026ｧ8 閨 apple ｧ8 applefi ﾌ030308apple ｧ fi ｷ30ｹ0 閨07 apple 03 6ｧ ｧ 閨 ｷ ｸ fi ｹ0 0002apple 6ｧ9 000ｸ704090ｹ0, fi ｹ ｹ ｸ7 閨 ｸ ｸ70ｹ0. ﾌ 006ｦ ｹ fi0ｹ0 apple03080ｹ fiapple080ｹ apple086ｧ 閨 閨09020ｸ apple07070ｷ 閨07 000ｸ7036ｦ ｹ0 ﾌ030308apple ｧ80ｹ0, 6ｧ ｦ 閨 fi ｷ apple ｸ ｷ307. ﾇ ｧ8 00apple06020ｸ7046ｧ ｹ ｹ0 00apple ｧ9 07 apple ｧ ｧ8 080ｸ ｷ3006ｧ9, 0208 fi ｸ7 閨 ｸ7 00apple ｧ ｹ0 apple ｹ0 閨 ｹ0 Roby Thompson, 08 08apple086ｧ9080ｹ0 apple6ｧ ｧ ｹ ｹ ｹ ｹ0-00apple ｹ ｧ ｹ ｸ 閨0ｹ 閨0ｹ0- ﾌ030308apple ｸ , apple086ｧ90806 閨04080ｸ ｷ303006ｧ ｦ0 020ｷ ｸ707 閨03080ｷ ｸ70ｹ ｧ ｸ70ｹ0 (0903fi ｹ ｹ0 6ｾ ｹ0, ). 6ﾒ2 apple 03 6ｧ ｸ ｹ0 00apple06020ｸ7046ｧ9 0ｹ0 006ｧ apple ｧ8. 09 閨 ｹ0 apple ｧ80ｹ0 00apple ｧ80ｹ0 020ｷ307 00apple 閨 ｹ0, 006ｧ fiapple080ｹ apple086ｧ apple ｧ apple 03080ｸ ｨB ｸ fi, 08 08apple086ｧ9080ｹ0 閨 ｧ fi fi0ｹ ｷ3apple060207, 閨040ｷ3 096ｧ ｧ ｹ 閨0ｹ0 apple08 閨 ｹ0 000ｸ ｧ90ｷ307, 02fi0408 applefi ｸ7fi ｸ70ｹ0 040ｸ707 閨 ｸ70ｹ0 fi applefi ﾌ030308apple ｦ00ｹ ｸ ｦ00ｹ0, apple ｹ ｹ apple 6ｧ9 000ｸ ｧ8 apple ﾌ 0203fiapple080ｹ apple086ｧ908 apple 03080ｸ ｨB ｸ7026ｧ , 閨 ｧ ｧ ｹ0 0ｷ30ｹ0 apple03080ｹ apple086ｧ ｸ ｧ ｧ ｹ fi ｹ0. ﾇ 020ｸ7apple08apple 閨0709 apple 03080ｸ7046ｧ ｹ ｹ0, 0000apple03080ｸ 閨 ｧ apple086ｧ9 03 apple03 鐶pple ｧ90ｹ apple ｧ8 0ｷ30ｹ0 applefi apple08030ｸ ｦ00ｹ0 apple006ｧ903 0ｹ0, ｸ707 0ｸ7 0400fi ｹ0 閨 ｷ300000ｹ0 080ｷ ｧ9000ｹ , ｦ ｧ800 apple03080ｹ0 6 56ｧ ｹ ｸ 閨0ｹ 閨0ｹ0 (0903fi ｹ ｹ0 6ｾ ｹ0, ). ﾌ fi ｹ0 006ｦ ｹ0 閨 ｹ0 006ｧ 閨 , ｦ ｧ ｹ0 apple ｧ9 0ｹ ｨBfi apple06020ｸ7046ｧ ｹ ｹ ｸ70ｹ0 閨02 apple03080ｹ apple 03fi07 02fi00080ｸ70ｹ0, ｨB080ｸ apple 閨 ｸ ｸ7apple02fi ｸ7 apple00 6ｧ9080ｸ ｹ ｧ ｹ0 ﾌ030308apple ｧ80ｹ0. ﾌ06 07 閨 fi ｦ0apple02080ｸ ｧ ｷ ｸ apple030804apple ｷ ｸ ｧ8 020ｷ307 apple ｦ0030ｷ307. ﾇ 07 ｨB6ｧ apple ｧ apple00 6ｧ apple ｧ9 apple0ｷ30ｹ apple ｧ apple fi ｸ70ｹ0 applefi ｧ ｸ70ｹ fi0ｹ0 020ｷ307 apple ﾑ86ｧ ｧ ｧ ｸ7036ｦ ｹ0 00apple0600 閨 ｹ ｹ ｹ0. ﾇ 040ｸ ｧ ｸ apple030804apple ｸ7026ｧ ｧ9 applefi ｸ ｨBfi , 0ｸ701 07fi apple06020ｸ7046ｧ ｧ8 apple ｧ ｸ fi090ｷ3 apple08076ｧ ｹ0. ﾞ ｸ709070ｷ ｦ00709 閨 ｸ7 Dr. Thompson apple030ｷ30208apple fi 02080ｸ7 閨030908, 閨 ｷ307 00apple ｷ ｸ fi07020ｷ ｸ 閨0ｷ ｹ0 apple 03086ｦ004 0ｹ0 閨 ｹ0, apple086ｧ ｦ apple apple07006ｦ fi ｹ0. 6ﾑ 閨030006, fiapple0ｷ30ｹ0 閨04080ｸ ｧ ｸ ｹ ｧ80ｹ0 Mayo fi 020ｷ apple03 鐶pple ｧ ｧ 閨 ﾑ803apple6ｧ9ｨB0ｷ3 apple0ｷ30ｹ , fiapple0ｷ30ｹ0 apple 03080ｸ ｨB Master Techniques in Orthopaedic Surgery 6ｧ ｸ70309fi ｸ ｧ fi apple ｧ ｸ ｧ ｸ7 apple ｧ fi fi 02080ｸ ｦ00ｹ0. Bernard F. Morrey, M.D. Series Editor xv

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17 ﾌ ﾌ 罍ﾌ6ｾ4 E ﾇ03ｦﾐ ﾒ ﾇ6ｾ4 6ﾑ8 ﾒ04 ﾌ6ｾ4 ﾇ6ｾ4 ﾞapplefi apple ｧ apple ｧ ｸ ｧ9080ｸ7 apple080ｸ7 apple apple08066ｧ , 09 apple03fi08 080ｹ0 apple080ｸ7 040ｸ 閨 ｸ ｧ ｸ ｧ9080ｸ7 00 閨 ｧ ｧ ｸ7apple0ｷ ｧ 閨 ｸ 閨07, 陦 020ｷ apple ｸ ｧ9080ｸ7, ｧ apple030ｷ30208apple fi 閨 ｸ7 Sir John Charnley 閨04080ｸ707 00apple6ｧ904090ｹ0 apple apple ｧ apple0308fi 080ｸ7 apple080ｸ7 閨04080ｸ 閨 apple apple ｧ apple086ｧ ｧ9ｨB ｦ ｸ7 0403fi07080ｸ7 00apple066 56ｧ90ｷ304090ｹ0 020ｷ apple (apple 閨 ｹ apple apple ｸ ｷ ｷ ｦ007, 07 陦 ｷ307 apple080ｸ7 apple ｨb080ｸ707 applefi apple03000ｸ703070ｹ ｸ700apple ｹ0 apple03080ｹ ｸ fi ｦ007, , , ｨB060302fi070608, 閨 apple ｧ ｸ7 apple08030ｸ ｸ ｧ9080ｸ7, ｷ300 閨07000ｹ 閨0ｹ ｷ3096ｧ80ｹ ｸ ｸ ｦ0 apple08030ｸ ｦ00ｹ0). ﾇ ｧ apple ｧ ｸ ｧ9080ｸ7 006ｧ apple08036ｦ0020ｷ30ｹ0 0106fiapple apple 閨 apple fi apple 閨 , ｯ 0ｸ702fi fi ｧ ｸ ｹ0 0ｸ701 07fi ｹ fi0ｹ0 020ｷ apple080ｸ7 0ｸ7apple apple 閨 ｸ7026ｧ8, ｦ ｷ ｧ90ｷ ｸ ｦ ｹ apple03080ｹ ｹ ｹ ｹ ｹ ｧ9000ｹ0. ﾇ ｷ fi04000ｷ307 ｰMaster 6ﾒ2echniques in Orthopaedic Surgery ｱ 閨 apple6ｧ 閨 ｷ307 ﾌ030308apple fi090ｷ3 020ｷ 閨0ｷ ｷ ｦ ｷ307 applefi6 7000ｷ apple086ｧ9000ｹ0 apple ｷ ｧ ｷ307 00apple0600 閨03080ｸ70ｹ fi04000ｷ307, 0906 ｯ 0ｸ702fi ｧ9 06 0ｸ ｧ apple ﾇ 006ｦ fi09030ｷ apple ﾑ ｧ8 閨 ｸ ｧ9080ｸ7 ｰThe Hip ｱ applefi ｧ ｰMaster 6ﾒ2echniques in Orthopaedic Surgery ｱ apple ｹ0 07 閨000ｹ ｹ ｧ ｹ ｸ ｧ ｸ ｧ9080ｸ apple086ｧ9000ｹ0 040ｸ707 閨 ｸ702 6ｧ9 0403fi0706. ﾌ ｹ ｹ apple086ｧ ｨB ｦ007 apple fi ｷ307, 閨0ｹ0 apple0909 閨0ｹ 閨0ｹ0, ｧ9000ｹ 閨0ｹ 閨0ｹ apple fi fi ｹ ｸ 閨0ｹ 閨0ｹ ｧ ｧ ｧ909080ｸ70308 fi ｧ907080ｸ apple 閨070806, ｧ904080ｸ707 applefi apple ｧ9 020ｷ ｸ 閨0ｷ apple086ｧ ｧ ｸ ｧ8 020ｷ ｧ9 0ｷ307 0ｸ 閨 ｸ707 6ｧ ｸ ｨBfi ﾌ030308apple ｧ8 0002apple 6ｧ9 000ｸ ﾌ06 Rosenberg Barrack ｸ ｹ ｸ70ｹ0, 040ｸ707 閨 ｸ ｧ apple0600 閨 ｷ307 00apple0600 閨03080ｸ70ｹ ｧ90ｷ ｸ ｧ9080ｸ ｧ902000ｸ ｧ ｸ70ｹ0. ﾌ06 040ｸ ｧ90ｹ0, 閨 apple 陦0ｷ ｹ ｧ9 000ｹ ｸ7 apple030ｷ302fi020ｸ7apple080ｸ7 040ｸ ｹ ｹ 閨0ｹ ｸ7 apple ｦ ｦ ｹ 閨0ｹ ｸ 閨0ｹ 閨0ｹ ｧ908, 040ｸ700apple 閨07090ｹ ｹ0 apple030ｷ ｦ00ｹ ｷ ｧ80ｹ ｧ80ｹ apple ｧ80ｹ0, 02090ｹ apple06026ｧ80ｹ ｸ ｧ80ｹ0, ｷ ｸ apple ｷ ｧ908 fiapple0ｷ30ｹ ｧ9000ｹ ｸ ｷ ｸ ｸ ｧ9080ｸ ｦ ｹ ｦ003090ｹ0. 6ﾑ86ｧ ｸ apple ｧ9040ｷ ﾑ ｧ ｸ ｧ9080ｸ7 ｰ6ﾒ208 ｦﾐ04046ｧ908 ｱ applefi ｰ 閨0ｹ0 6ﾒ 閨0ｹ ﾌ030308apple ｧ ｸ ｧ8 ｱ. 縺070ｷ3036ｧ9ｨB ｹ ｧ ｹ0 00apple ｧ80ｹ0 040ｸ ｧ80ｹ0, 00apple ｧ9070ｷ apple apple ｸ ｧ ｹ ｹ ｹ0 040ｷ304026ｧ80ｹ ｧ80ｹ0 applefi ｹ0 020ｷ ｷ307, 020ｷ , ｷ307 00apple fi030ｷ307 apple080ｸ fi apple ｦ ｧ ｧ8 apple 閨 ｧ9. 縺 fi0908 0ｸ702fi, 03 6ｧ ｸ fi03080ｸ70ｹ0 fi04080ｸ70ｹ ｧ applefi ｹ0 6ﾑ ｧ80ｹ ｹ ｸ ｧ9080ｸ7, ｹ0 00apple6ｧ904090ｹ ｹ0 ｰｦﾐ 閨0ｹ0 6ﾑ802 fi ｹ0 ﾒ0ｷ ｹ0 ｱ apple0806fi ｹ0 閨 ｹ ｹ ｾ4080ｸ ｹ0 ﾒ ｧ80ｹ0 ﾌ030308apple ｧ80ｹ0 ｦﾐ ｧ80ｹ0 6ｾ ｧ80ｹ apple ｧ9080ｸ7 ﾞ xvii

18 136ｾ fi ｸ707 6ｧ ｸ7, Terri, ｸ7apple 閨 apple ｸ7, Adam Toby, apple ｸ70ｹ0, 04026ｧ fi090409, ｧ ｸ ｦ ｸ7, Michael. RLB n

19 ﾌ ﾌ 罍ﾌ6ｾ4 ﾞ 罍罍ｦﾐ ﾒ ﾇ6ｾ4 6ﾑ8 ﾒ04 ﾌ6ｾ4 ﾇ6ｾ4 ﾇ apple 閨 ｸ7 040ｸ ｹ0 006ﾒ208 ｦﾐ04046ｧ ｸ fi ﾞapplefi apple08046ｧ ｧ90709, fi0ｹ0 020ｷ307 00apple ｷ ｧ80ｹ apple ｧ80ｹ ｧ9080ｸ7 apple080ｸ ｦ fi0708 閨 apple ｧ fi ｧ9 040ｸ ｦ007 apple0ｷ30ｹ0 0ｸ702fi0ｹ ｸ70300fi0ｹ0 6ｦ ｹ ｸ ｧ 閨040ｷ30ｹ0 00applefi 閨 , ｸ7apple0ｷ ｧ8 apple03fi08 080ｹ ｧ9 020ｷ307 0ｸ ｹ ｸ 閨0ｹ 閨0ｹ ｹ0 00apple ｹ ｸ ｧ9080ｸ7. ﾞ0ｸ7026ｧ8 09 apple03fi08 080ｹ ｧ8 00apple 閨 ｹ0 6ｦ003090ｹ ｸ ｸ7apple02fi ｸ7 apple00 6ｧ9080ｸ apple 03086ｦ004 閨 ｾ400 0ｸ7026ｧ807 apple ｸ ｹ0 apple ｹ0 閨 ｹ ｸ 閨04080ｸ 閨 ｸ ｧ90ｹ0. ﾌ 閨07 applefi 陦 ｨB 閨000ｹ 閨0ｹ0 fiapple0ｷ30ｹ apple ｧ apple06026ｧ ｸ ｧ ｸ ｧ9080ｸ7, ｸ 閨0ｹ0 00apple ｹ ｧ8 07 閨02030ｷ ｸ ｧ9080ｸ7 040ｸ700apple 閨07090ｹ ｹ apple ｧ80ｹ0 00apple ｧ9 0ｹ apple ｧ8 040ｸ 閨070ｷ307 0ｸ fiapple0ｷ30ｹ apple 閨 ｹ0, apple 閨0ｹ ｹ0 0803fi ｸ ｸ ｧ9080ｸ ｦ0, ｷ ｧ ｸ76ｧ80ｹ ｹ ｦ003090ｹ0, apple03fi PROSTALAC apple ｹ ｧ9000ｷ301090ｹ0. ﾇ apple ｧ ｧ804090ｹ ｧ90ｷ307 apple 閨04000ｷ ｷ3036ｧ90ｹ ｸ fi 閨 閨 ｸ ｧ , ｧ ｹ ｹ ｹ ｧ9080ｸ7 ﾞ ｧ80ｹ0, fi0ｹ apple086ｧ apple02036ｧ9ｨB ｹ0 閨 ｹ0 0ｸ7026ｧ80ｹ0 apple080ｸ7 apple ｦ ｧ ｧ80ｹ0 020ｷ fi030ｷ ｦ0apple0ｷ ｧ90ｷ307 apple 閨04000ｷ ｷ3036ｧ90ｹ 閨070208, 040ｸ 閨 ｧ ｹ0 apple ｦ ｹ0 閨 ｹ ｹ0 ｦﾐ ｧ80ｹ ｹ0 00 閨03000ｹ0 00 0ｹ0, ｧ ｸ ｧ ｸ ｧ9080ｸ7, 006ｧ ｧ ｸ ｧ80ｹ0, ｸ ｧ80ｹ 閨6 7090ｹ fi ｷ 閨070ｷ307. 縺 fi0908 0ｸ702fi 閨 閨 ｷ303006ｧ ｧ90ｷ ｹ ｸ ｧ80ｹ0 apple ｹ fiapple08 036ｧ ｹ apple ｷ307. 6ﾑ ｧ9 0ｹ ｸ ｹ0 0ｸ701 07fi ｸ ｦ 閨 ｷ307 0ｸ ｸ , 08 apple fi0ｹ fi0ｹ0 apple fi ｦ ｧ9. 030ｹ ｦ002080ｸ7 閨04080ｸ707 apple ｧ ｦ 閨 apple086ｧ 閨 apple fi fi 02fi ｹ0 apple030ｷ ｦ00ｹ ｧ80ｹ apple ｧ80ｹ ｸ ｧ9080ｸ7 fi ｹ ｹ apple 閨 ｹ0 6ｦ003090ｹ apple 03086ｦ004 閨 fi0ｹ applefi0ｹ0 apple 閨 ｧ ｹ0. ﾞ0ｸ702fi0ｹ ｧ ｹ0 applefi apple 03080ｸ7046ｧ ｹ0 apple03 閨 ｦ ｹ ｷ300 閨07090ｹ ｹ 陦 02090ｹ ｸ ｧ80ｹ ｸ ｧ9080ｸ7, 6 56ｧ800 apple03080ｹ0 6 56ｧ800, 040ｸ ｸ7fi applefi apple ｧ8 apple000602fi ｧ apple6ｧ9 apple0ｷ30ｹ0 006ﾒ208 ｦﾐ04046ｧ apple 閨 閨 ｧ ｧ ｷ307 ﾌ030308apple ｸ apple030804apple ｧ804080ｸ ｸ ｧ804080ｸ apple ｹ0 07 閨000ｹ 閨0ｹ ｦ apple fi Robert L. Barrack, M.D. xix

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21 13096ﾑ806 ﾌ6ｾ4 I apple0803 閨 ｹ ｸ ｧ908

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23 閨 ﾑ ｧ ｹ0 ﾌ030308apple ｧ8 Waqqar Khan-Farooqi Seth S. Leopold 00 ﾇ ｷ307 apple 閨030ｷ ｸ ｸ703086ｦ 閨 ｦ0apple ｸ ｧ80ｹ0 00apple 閨 ｹ0 6ｧ8 006ｧ ｸ ｧ8 apple030804apple 閨 ｸ7apple 閨 apple086ｧ ｹ003 - Sir John Charnley, Low Friction Arthroplasty of the Hip: Theory and Practice, ｧ8 6ｦ ｷ ｷ307 applefi 02060ｹ ｧ9000ｹ0 0803fi ｸ7 Charnley 00 閨 ｧ , apple 閨07080ｸ ｷ3006ｧ9000ｹ ｧ ｹ ｸ ｧ ｸ ｧ9080ｸ7 020ｷ ｧ9020ｷ307 ( ｹ ｧ ｹ0, 02060ｹ ｸ 閨0ｹ0 apple apple ｹ0, apple ｧ8 020ｷ307 apple 閨04000ｷ307), apple086ｧ9000ｹ0 006ｧ ｹ 閨 apple086ｧ9 0ｸ7apple ｷ3-076ｧ9. 6ﾒ ｸ702fi apple fi apple ｧ ｸ7apple ｧ ｹ0 0ｸ 閨 ｹ0 6ｧ8 閨 ｹ apple086ｧ ｹ0 020ｷ ｸ , 6ｧ ｧ 閨 fiapple ｷ apple ｷ300 閨070ｷ ｧ90ｷ apple086ｧ ｧ9ｨB 閨0ｹ0 apple ｹ0, 6ｧ ｧ9 020ｷ 閨 ｷ ｧ90ｷ307, 0007 閨 fi ｧ fi0408, 006ｧ fi ｦ ｸ702086ｦ apple03 閨 fiapple apple ｧ apple086ｧ ｧ ｧ8 applefi ﾒ apple 閨 ｷ fi030ｷ ｧ ｸ ｧ ｧ8 apple ｨC fi0406, ｧ9 ｨC 006ｧ ｧ904080ｸ fi. 6ﾑ80707 fi03 02 apple 03 - apple07070ｷ ｦ007 0ｸ7applefi , ｸ76 709, ｧ9, ｧ8 0ｸ ｧ80ｹ0 apple0806fi ｹ ｸ 閨070ｷ ｧ9 020ｷ ｧ9ｨB080ｸ apple0ｸ7036ｧ ｹ 閨07090ｹ ｧ ｹ 閨07 ｦﾐ ｧ80ｹ0 (evidence based medicine). ﾌ 閨0ｹ ｹ 閨07090ｹ ｧ ｹ0 ｦﾐ ｧ80ｹ0 006ｧ ｧ90ｹ 閨0ｹ ｧ9000ｹ fi ｹ0 6ﾑ8040ｷ ｧ80ｹ ｧ9 0ｹ0 (1,2) fi0408, ﾌ030308apple ｧ8, 6ｦ ｧ90ｹ0 apple 03fi ｹ 閨0ｹ ｧ ｧ9 apple 閨 ｹ ｧ9 0ｹ ｸ ﾌ06 ﾌ030308apple ｧ ｸ ｧ9 040ｸ apple ｧ9apple02080ｸ 閨 ｧ ｹ0 ｦﾐ ｧ8 0ｷ30ｹ ｧ ｧ apple ｧ ｹ ｸ ｧ80ｹ0. 08apple ｧ8 apple080ｸ7046ｧ ｧ90ｷ 閨070ｷ ﾌ030308apple ｧ apple086ｧ ｸ7036ｦ007080ｸ ｧ ｷ apple ｷ fi apple ｷ ﾌ06 040ｸ ｧ90ｹ ｧ ｹ ｧ9 020ｷ307 0ｸ ｸ703096ｧ9, ｸ ｧ9 6ｧ8 040ｸ ｧ903 apple ｹ0 00apple ｨB080ｸ ｸ70ｹ0 ﾌ030308apple ｦ00ｹ ｸ ｦ00ｹ0, apple ｧ9 07 apple ｦ ｸ ｧ ｧ9000ｸ apple ｷ ｹ 閨02000ｹ0 apple080ｸ7 apple apple ｦ (3). 6ﾒ2 apple ｧ apple0806fi ｹ0 020ｷ fi030ｷ 閨 apple6ｧ904090ｹ0 0ｷ30ｹ ｧ ｹ 閨07090ｹ ｧ ｹ0 ﾌ030308apple ｧ80ｹ003. ﾌ06 020ｸ apple 閨07000ｹ 閨02000ｹ0 006ｧ apple ｹ0, 閨07000ｹ0 apple000306apple ｹ0, 09 閨 ｸ apple086ｧ ｹ0 00apple ｧ9 07 0ｸ7apple ｧ fi ｷ fi070ｷ ｧ80ｹ0. 縺 , 00fi % 020ｷ apple apple ｸ apple086ｧ ｷ ｧ8 020ｷ 閨070ｷ ｹ 閨02090ｹ0 (3). ﾌ06 ﾌ030308apple ｧ ｸ ｧ 閨03080ｸ707 fi ｸ7apple fi07080ｹ0 6ｧ ｸ ｧ9 07 apple 閨07080ｸ apple08 006ｧ ｹ 閨 apple086ｧ apple ｦ apple 07026ｧ804080ｸ ｷ3026ｧ ｨC 000ｸ7apple ｸ ｧ90ｹ ｧ903080ｸ ｧ80ｹ0 0ｸ7026ｧ ｧ803. fi090ｷ3 0ｸ ｷ307 apple 03 09fi07020ｷ307, ｸ ｧ ｧ9ｨB ｹ 閨0ｹ ｸ70ｹ0 6ｧ ｸ700 閨07000ｹ0 0000apple ｧ9000ｹ ｷ ｧ ｹ ｧ80ｹ ｸ70ｹ ｸ ｧ80ｹ0 apple ｧ80ｹ0. ﾌ06 閨00apple ｸ ｧ9 040ｸ ｸ703086ｦ apple ｧ8 apple 閨 ｸ7 026ｦ0apple080ｸ ｸ703006ｦ 閨 ｸ703, 09 08apple086ｧ9 apple 閨0ｹ 閨0ｹ0 006ｧ ｦ ｧ9 0ｸ7applefi ｧ fi0408, ｹ0, ｹ apple ｧ80ｹ0 020ｷ 閨070ｷ ｷ307 0ｸ ｷ , 0ｸ ｸ ｸ703fi ｸ7026ｧ80ｹ ｹ0 0000apple ｧ80ｹ0 00 applefi ｹ ｸ ｸ ｸ7-060ｹ apple ｦ ｷ ｸ702 閨0ｹ0, 02060ｹ0 applefi fi 閨07000ｹ apple ｹ 閨0ｹ ｸ 閨0ｹ0 apple ｧ ｹ0. ﾌ ｧ90ｹ apple086ｧ ｧ9apple080ｸ ｧ ｸ70ｹ0 apple ｦ applefi 02080ｸ70ｹ apple ｹ ｸ ｦ00ｹ ｸ70ｹ0, 閨0408 fi apple06020ｸ ｸ fi ｧ ｷ300 閨07 040ｸ704026ｧ fi ｹ0 020ｷ ｸ apple ｷ307, ｧ apple fi ｷ3apple ｦ007 apple08020ｸ 閨07 6ｧ apple ｸ ｸ70ｹ ｧ90ｹ apple086ｧ90806 apple ｸ703086ｦ

24 ﾑ806 ﾌ6ｾ4 I 0906 ﾌｦｸ09 ﾌ056ﾑ86ｾ46ﾑ8ｦﾐ6ｾ4 罔ﾐ ﾞ 016ﾑ8ｦﾐ06 ﾌ0806 縺6ﾑ8ｦﾐ ﾌ ｧ (4,5). ﾇ apple ｦ applefi apple ｸ70309fi 00fi ｷ ｧ9070ｷ apple086ｧ90806 apple 03080ｸ ｨB apple 閨 apple ｧ9 閨 fi0708 applefi 02080ｸ70ｹ0 apple ｹ ｧ907080ｸ70ｹ0 apple080ｸ7 00apple ｧ ｧ804080ｸ ｹ0 0ｸ7apple ｧ9000ｹ0 0ｸ709006ｧ9 0ｹ 閨07 040ｸ700apple ( fi ｹ0). ﾒ 閨 ｷ ｧ901000ｷ ｷ ｸ apple ｷ ｧ ｸ70ｹ ｧ ｹ0 ｨC apple fi fi030ｷ ｷ ｸ apple ｷ307 ｨC ｧ ｧ apple apple030804apple 閨 ｧ ｦ apple0ｷ30ｹ0 00apple apple08066ｧ8040ｷ 閨 ｧ ｹ0 ﾌ030308apple ｧ ｧ ｸ ｧ8 0000apple ｧ ｷ3apple6ｧ9040ｷ ｧ ｸ7 apple0608 apple 縺 fi0908 0ｸ702fi, 0208 apple 03fi , 07026ｧ ｸ ｧ ｹ0 0000apple ｧ9000ｹ ｹ ｷ3036ｧ9000ｹ0 020ｷ307 apple 閨030ｷ307 ﾌ030308apple ｸ ｹ ｧ ｹ ｹ ｸ ｧ80ｹ ｸ ｧ9080ｸ7 020ｷ ｧ9020ｷ307, 閨 applefi ｸ apple03 閨 fiapple apple ｷ300 閨 閨 ｹ0 apple0909 閨0ｹ apple086ｧ9000ｹ ｧ804080ｸ ｸ70ｹ0 00apple08030ｸ ｸ70ｹ ｦ00ｹ ｹ0 0ｸ7apple ｧ9000ｹ0 0ｸ709006ｧ9 0ｹ ｧ804080ｸ fi04080ｸ ｧ ｸ70ｹ ｸ ｧ8 apple ﾞ6ｾ4ｦﾐ6ｾ4096ﾑ803 ﾇ 6ｾ46ﾑ8 6ﾑ803046ﾑ8ｦﾐ6ｦ16ﾑ8ｦﾐ6ｾ4 ﾌ0605 ﾌ09 ﾞｦﾐ04ｦﾐ ﾒ ﾇ: 6ﾒ2 ﾞ ﾒ0806ｦﾐ ﾞ 08 ﾇ09 ﾞ6ﾒ2 ﾞ fi apple086ｧ ｹ0 00apple6ｧ ｹ0 020ｷ ｷ ｷ ｧ80ｹ0 apple0806fi ｹ ﾌ030308apple ｧ ｸ ｧ8, ｸ ｧ9, ｨBfi ｹ 閨0ｹ ｹ 閨07090ｹ ｧ ｹ0 ｦﾐ ｧ80ｹ ｹ0 6ﾑ8040ｷ ｧ80ｹ ｧ9 0ｹ ｧ apple020ｸ ｹ 閨07090ｹ ｧ ｹ0 ﾌ030308apple ｧ80ｹ0 (evidence based Orthopaedics). ﾌ 閨0ｹ ｹ 閨07090ｹ ｧ ｹ0 ｦﾐ ｧ80ｹ0 閨04080ｸ ｷ303006ｧ9 02fi 閨07020ｸ7apple09 fi ｧ ｧ ｧ902020ｸ708, applefi 0006 apple ｧ9 apple apple080ｸ7 apple ｦ ｷ ｸ7 Master University in Canada (6,7) Cochrane Collaboration (8) apple03fi , fi apple fi The Journal of Bone and Joint Surgery (JBJS) 0806 閨030ｷ ｦ apple00 6ｧ ｹ 閨07090ｹ ｧ ｹ0 ﾌ030308apple ｧ80ｹ0 (9,10) fi0308 apple080ｸ apple0909 閨0ｹ0 0ｸ702 閨0ｹ 閨03080ｸ apple ｧ9, fi03000ｹ ｸ703086ｦ apple 03fi ｧ8 apple 閨 ｧ ｷ apple ｷ307. ﾇ apple 閨 ｸ7026ｧ8 apple fi03080ｸ 閨 ｦ ｧ : ｦ0apple0ｷ ｹ ｹ0 ｨC ｧ9 apple080ｸ7 00apple06 閨 apple ｸ ｹ 閨0ｹ0 apple0909 閨0ｹ ｹ ｧ9 0ｹ0 3. ﾞ fi ｷ 閨070ｷ ｹ0 00apple 閨07090ｹ ｧ9 0ｹ0 4. 6ﾑ ｧ8 020ｷ307 apple ｷ ｸ 閨07080ｸ70ｹ ｧ90ｹ0 6ﾒ 閨 apple ｹ apple06020ｸ 閨 ｸ ｧ ｦ ｾ40ｸ7076ｧ8030ｷ30ｹ0 07 ｨB ｦ ｸ7apple ｸ apple ｸ707fi fi ｸ7026ｧ 閨 apple 03 6ｧ ｸ702036ｧ ｧ ｹ0. 6ｾ40ｸ , 0ｷ30402fi- 0408, ｧ80ｹ ｨC ｧ9 0000apple 閨 ｧ ｧ8 0ｸ7apple ｷ3026ｧ800 02, 02 08apple086ｧ9 fi ｸ7apple0ｷ303086ｦ apple ｦ , ｧ804080ｸ apple06030ｸ fi apple0802 閨 ﾞapplefi ｧ8 apple080ｸ ｸ70309fi0ｹ ｨC ｧ9, ｧ 閨 ｹ0 apple0909 閨0ｹ ｧ907000ｹ apple086ｧ9000ｹ0 閨04080ｸ ｦ apple fi apple ｸ ｹ 閨0ｹ0 apple 07026ｧ ｹ apple ｧ9000ｹ0. ﾌ06 apple0909 閨0ｹ0 0ｸ702 閨0ｹ0 apple 03 06fi apple ｧ9 07 apple 閨 閨07 apple08036ｦ ｧ ｹ ｹ0 ﾌ030308apple ｧ80ｹ ｸ ｧ80ｹ0, 6ｧ8 0207apple ｧ8 0309fi apple 閨 閨07 CD-ROM apple080ｸ7 apple ｧ ｦ ｷ apple6ｧ804000ｷ ｹ ｸ702 6ｧ9 0ｹ ｧ9 0ｹ0 0007fi0ｹ ｦ0 apple ｦ0. ﾇ 07 ｨB6ｧ apple apple ｧ9 apple 閨0ｹ 閨0ｹ ｧ apple ｸ ｧ 閨 fi ｧ ｧ ｹ0 07 ｨB6ｧ ｹ0. 6ｾ46ｧ , , ｨB6ｧ apple apple ｧ ｧ applefi ｹ0 apple0909 閨0ｹ ｸ ｦ0080ｸ7 (websites) fiapple0ｷ30ｹ Medline, 0208 Cochrane Collaboration, 0208 Clinical Evidence, 0208 Orthopaedics Web Links, apple , ｧ ｹ0, 6ｧ ｹ 閨0ｹ0 07 ｨB6ｧ ｹ ｧ902020ｸ708. 6ﾒ2 apple 閨 ｹ0 07 ｨB6ｧ ｹ0 0ｸ7026ｧ80ｹ0, ｸ707 閨 ｸ7apple ｦ apple ｧ ｧ80ｹ apple086ｧ9 03 apple ｧ ｹ0 apple 閨0ｹ0 apple ｧ9000ｹ ｨC ｧ ｸ ｧ8 020ｷ apple 閨070ｷ307, ｸ ｧ9 03 apple03 鐶pple fi04080ｸ ｸ7apple08apple 閨07000ｹ fi 080ｸ70ｹ0 (4,7,10-18) ｧ804080ｸ apple0806fi ｸ , ｷ3036ｧ904080ｸ apple fi ｷ307, ｧ804080ｸ apple6ｧ ｷ ｷ307 0ｸ apple 閨 fi ｹ0 apple0806fi ｹ0 020ｷ , ｸ70309fi0ｹ0 03 apple03 鐶pple ｧ 閨 ｹ ｧ80ｹ ｸ7 apple ｧ80ｹ ｧ80ｹ0 0000apple ｧ9 0ｹ0. 6ｾ40ｸ , ｹ 閨02000ｹ apple ｷ3apple0602 閨0ｹ0 0000apple ｧ9000ｹ0 6ｧ8 apple ｧ ｹ0 00apple ｧ9 07 apple ｦ ｸ ｸ700080ｷ3076ｧ9000ｹ0, apple086ｧ9000ｹ0 03 apple03 鐶pple apple 閨04080ｸ ｧ apple 閨030ｷ3 閨03000ｸ707 0ｹ ｨB6ｧ apple 閨0ｹ 閨0ｹ0, 0106fi ｹ 閨02000ｹ ｷ ｧ ｸ703fi apple ｧ apple08 6ｧ9 080ｸ ｧ9 06 apple 閨 ｹ0 0000apple ｧ9000ｹ0 6ｧ8 apple ｧ ｹ ｸ ｸ ｦ0. 6ﾒ fi0ｹ0 0ｸ702fi 00apple ｧ ｧ apple ｹ apple086ｧ applefi ｸ70309fi, 閨 ｸ7 apple 03 6ｧ ｸ apple ｦ0, 6ｧ 閨 ｸ7 006ｧ ｹ0 020ｷ apple086ｧ ｸ700apple ｧ 閨0209. ﾌ 閨02000ｹ0 0ｸ702 閨0ｹ ｧ9ｨB applefi ｧ ｷ ｧ ｸ703fi apple03 鐶pple ｦ apple ﾒ , apple ｧ80ｹ ｸ70309fi0ｹ ｹ0 apple ｧ9000ｹ0 apple080ｸ7 040ｸ applefi ｨB6ｧ ｧ ｸ apple036ｧ ｷ ｧ ｷ ｸ ｧ8. 6ｾ40ｸ , 09 apple ｷ3apple06026ｧ8 07apple ｸ7 6ｧ ｸ ｸ ｦ00ｹ0 040ｸ ｧ ｷ307 apple ｷ ｸ ｸ ｦ0.