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New hip disease categories should help in planning surgery
After an extensive study of osteoarthritic hip disease, two Toronto orthopedic researchers say the end results of hip surgery can be improved by a better reading of roentgenograms.Ian Macnab, MB,ChB, and Hugh Cameron, MB, ChB, gave this double-barreled message at the annual meeting of the Canadian Orthopedic Association:To clinicians in general: "The patient who limps into the office with hip pain should never be dismissed with reassurances and analgesics. There are some osteoarthritic lesions of the hip which progress quickly. But these can often be treated with minor surgery—provided they are caught early enough."To their fellow orthopedic surgeons: "Osteoarthritis can be categorized, and not all types need total hip surgery. In some types this operation may be unnecessary and in others it may be contraindicated."Dr. Cameron is a research fellow at the University of Toronto where
Medical News. JAMA. 1972;221(10):1097-1106. doi:10.1001/jama.1972.03200230003002