The 32nd Japanese Hip Society (JHS) Congress was held November 6–8, 2005, in Niigata, Japan. Guest speakers from many countries and specialists for hip disease presented papers that focused on joint preservation for osteoarthritis of the hip, joint preservation for aseptic necrosis of the femoral head, treatment for epiphyseolysis capitis femoris, and up-to-date information and knowledge on joint arthroplasty. Altogether, there were many important presentations about joint preservation and replacement. This book covers the main themes of the congress.
The starting point for the treatment of hip disease depends on how we can preserve the natural hip joint and on steps leading to regeneration of the diseased, injured, or destroyed joint. Preservation and regeneration treatments following traditional and theoretical methods do not need to use expensive materials, such as the artificial joints used in arthroplasty. On the other hand, preservation and regeneration treatments are difficult to perform and require a lengthy rehabilitation period.
Recently, too much attention has been paid to these demerits, resulting in a yearly decrease in the number of cases receiving joint-preserving treatment. This move away from traditional methods denies the surgeon the experience and knowledge of the benefits associated with the most biologically appropriate treatment. As the president of JHS and a hip surgeon, I believe there is a need to halt this tendency, to promote the benefits of histological treatment, and to allow the young surgeon insight into joint-preservation surgery. Also, as a hip surgeon I am not neglecting joint replacement as a treatment for hip disease. I, myself, perform total hip arthroplasty for patients with severely damaged hip joints and those who have no other therapeutic choice than joint-replacement surgery.
As an editor of this book, I am very hopeful that readers gain insight into the proper
treatment of hip disease.
Muroto Sofue
President of the 32nd Japanese Hip Society
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