Moore's 1957 paper reports his six-year experience with 159 hip replacement operations using a self-locking Vitallium femoral head prosthesis. It describes the prosthesis design, the 'southern exposure' posterior surgical approach, the technique of bone-graft-loaded fenestrations, and postoperative rehabilitation principles — asking whether a fenestrated intramedullary stem can achieve durable biological fixation through bone ingrowth.
Understanding Moore's early work provides historical context for modern cementless hip arthroplasty principles, particularly the concept that controlled stress application promotes bone ingrowth while excessive early loading leads to implant loosening.
Moore's 1957 paper reports his six-year experience with 159 hip replacement operations using a self-locking Vitallium femoral head prosthesis. It describes the prosthesis design, the 'southern exposure' posterior surgical approach, the technique of bone-graft-loaded fenestrations, and postoperative rehabilitation principles — asking whether a fenestrated intramedullary stem can achieve durable biological fixation through bone ingrowth.
Understanding Moore's early work provides historical context for modern cementless hip arthroplasty principles, particularly the concept that controlled stress application promotes bone ingrowth while excessive early loading leads to implant loosening.