الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
Aim of the work
To review the evolution of the clinical and scientific foundations of osteotomy. By so doing the role of osteotomy in the contemporary surgical treatment of osteoarthritis may be better defined.
Conclusion
The accepted surgical treatment for painful osteoarthrosis of the hip is one of three major types: total hip replacement, arthrodesis or osteotomy. Arthodesis, although it can guarantee total permanent relief of pain, it is limited to unilateral disease in young individual who must perform heavy work. Total hip replacement is accepted in elderly patients. However, for condition is not quite so clear owing to the higher risk of loosening of the prothesis and the disastrous consequence of prothesis infection in younger patients, osteotomy is used in the treatment of this age group.
This study focused on the mechanical environment that can lead to end-stage osteoarthrosis, emphasizing the role of osteotomy in prevention and treatment.
Osteotomy in properly selected patients offers a biological procedure that can arrest if not reverse the disease process.
A successful outcome is the result of multiple factors, including patient selection, clinical and technical expertise and a long convalescence.
The evolution of the clinical and scientific foundations of osteotomy is reviewed. By so doing, the role of osteotomy in the contemporary surgical treatment of osteoarthritis may be better defined.