Arthroscopy apart, what is the role of nonprosthetic hip surgery in this day and age?
J.P.: The interesting thing is that, thanks to Ganz, periacetabular osteotomies for the correction of minor degrees of acetabular dysplasia are in again. This was very obvious from Jean Philippe Cahuzac’s paper on the development of treatments of the dysplastic paediatric hip with Salter, Pol Lecoeur, and other osteotomies. We saw that, beyond the treatment performed by paediatric surgeons, adults may, in borderline cases, require further pelvic osteotomies, and even osteotomies of the proximal femur, in order to improve the mechanical pattern of the hip joint. In an age where total hip replacements are perfectly routine procedures, it is comforting to see that osteotomies, which were becoming just a bit of theory to be taught to our students, are not only enjoying a second spring, but a new rationale. I grew up with McMurray osteotomies, which Rieunau used to do to correct the alignment and to improve the positioning of the foot. The pain relief achieved was excellent; with regard to
