Abstract
In this paper, experiences with the neurotripsy of the obturator nerves and the “Hangehufte” (“suspended hip”) described by Voss are discussed. Voss considered muscular tensions to be of great importance and proposed an operation in which the greater trochanter is sectioned to release the tension of the gluteal muscle and the adductor muscles are tenotomized. Pauwels, working along similar lines, released the iliopsoas. They reported fairly large number of cases with excellent restoration of hip joint after these procedures. The results of 7 cases followed up from 3 monthes to 2 years are analysed. In general, there was excellent relief of pain in the cases studied, except only one. The movement of the hip joint was not so improved after operation, but almost all cases showed fairly remarkable widening of the articular space. Voss' operation is indicated in all cases of osteoarthritis of hip joint, except in untreated congenital dislocation with extreme displacement of the acetabulum. In some cases with secondary osteoarthritis of the hip, preoperative roentgenogram showing flattening of the femoral head with in congruity of the articular surface, it has not been discussed adequately whether the operation would be successfully done, but nowadays, it is concluded that Voss' operation is a very useful one for osteoarthritis of the hip joint in which the process is so severe that arthrodesis or arthroplasty is required. We have not so enough experiences of this operation, therefore we would like to follow up, and report in future.
