Unlike the western world, where primary osteoarthritis of the hip is a very common condition, in our circumstances, indications for a primary total hip arthroplasty are very different. Likewise, the patient demands and expectations too are extremely different, because a European patient seldom squats or sits cross legged. Since Sr John Charnley invented this procedure in the sixties,more than twenty million hips have been replaced worldwide, and have lasted for thirty years or longer, making it a rewarding and extremely gratifying procedure,both or the patient and the surgeon. However,complications when they happen,are often disastrous and leave the patient crippled. The difference between a hip that lasts for thirty years and that which dislocates in two weeks, is essentially more dependent on the exactness of the surgical technique, rather than the type of implant used or method of fixation employed. This book teaches you the basics and the nitty gritty of the total hip replacement procedure in a simple storybook style. Profusely illustrated with “Netter style” drawings, painted by the author himself, this book is a pleasure to read and a treasure trove of knowledge. Untainted by commerce, and without promoting a specific brand or design, the author has laid bare the essential tricks, that will help you to plan and execute this procedure flawlessly. Dr L.Prakash has shared his thirty years of experience as an arthroplasty surgeon, and written this book, which will be extremely useful to anyone performing this fascinating surgery.
Dr. L. Prakash is a pioneer arthroplasty surgeon in India, who began implanting artificial hip joints in 1988. He trained under renowned hip surgeons such as Mr. M.A.R. Freeman, Mr. Maurice Muller, Mr. M. Wroblowski, Mr. Peter Ring, Mr. Ian Young, and Mr. W. Boyle. He has also conducted studies and collaborated on hip implant designs for Asian patients.
In 1993, Dr. Prakash designed and manufactured India’s first affordable “Made in India” total hip implants. He introduced innovations such as the Madras Modular Hip, Prakash Universal Hip Instrumentation Set, Prakash Cement Removal System, and Prakash Self Retainers. He also designed India’s first silicone moulded dies for intraoperative cement spacer fabrication and a cabling system for peri-prosthetic fractures.
He developed Prakash Fibular Osteotomy (PFO) as an alternative to total knee replacement (TKR) in selected patients and introduced a simple method for reducing shoulder dislocations.
Apart from being a surgeon, he is also an inventor, designer, artist, magician, zoologist with an interest in reptiles, and an author of more than 110 books. He is a passionate orthopaedic teacher, promoting learning through books, surgical videos, audiobooks, and workshops. His other books include “The Magic of Ilizarov” and “A Beginner’s Guide to Total Knee Replacement.”
Currently, Dr. L. Prakash is the Director and Chief of the Institute of Special Orthopaedics, Chennai.
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