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Biomechanics of the Normal and Diseased Hip

Arch Surg. 1977;112(6):790. doi:10.1001/archsurg.1977.01370060122019.
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This elegantly illustrated atlas represents a lifetime of careful clinical observation by Professor Pauwels, who truly pioneered the application of mechanical principles to the pathophysiology and management of musculoskeletal disease. A text on biomechanics of the hip without a single equation? Welcomed by most clinicians, decried by bioengineers.

Professor Pauwels initially lays a theoretical mechanical foundation, with a discussion of the effect of load and stress on skeletal structures. He then applies these principles to understanding of the etiology and management of hip joint disease, specifically, congenital coxa vara, pseudarthrosis of the neck of the femur, and osteoarthritis. This somewhat narrow focus allows a comprehensive discussion of the pathomechanics of these three hip problems. The author demonstrates the means by which appropriate osteotomies modify the forces acting about the hip so as to elicit favorable biological response from the skeleton. The text, many years in preparation, does not deal with


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