Outcomes of Modified Harrington Reconstructions for Nonprimary Periacetabular Tumors: An Effective and Inexpensive Technique

Annals of Surgical Oncology
Nicholas M BernthalR Lor Randall

Abstract

Metastatic disease to the acetabulum presents a difficult technical and philosophical challenge: complicated surgeries in patients with often short life expectancies force us to examine both the outcome and cost of these operations. Therefore, we studied the durability of a cement-screw rebar reconstruction technique and risk factors for failure, and we compare the results to other reconstruction options. This is a retrospective review of 52 acetabular reconstructions in 50 patients for nonprimary disease using a retrograde screw-rebar-cement all-polyethylene technique. Mean age was 57 years (range 25-81 years). Twenty-four lesions were classified as Harrington class II; 28 were Harrington class III. Mean follow-up was 17.7 months (range 1-92 months). Outcomes included patient survival, prosthesis survival, and complications. Forty-eight of 50 (96 %) patients ambulated after surgery. Five of 52 (9.6 %) of prostheses failed, three from loosening due to tumor progression, one from aseptic loosening, and one from soft tissue instability (dislocation). The three cases of tumor progression failure occurred in patients with massive preoperative ischial tumor burden. Mean surgical time was 198 min, and hospital stay was 5.2 days. The ...Continue Reading

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Citations

Jan 23, 2017·The Journal of Arthroplasty·Deren T Bagsby, L Daniel Wurtz
May 17, 2019·Clinical Orthopaedics and Related Research·Philip RowellIan Dickinson
Dec 11, 2020·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·William B LeaMei Wang
Feb 16, 2021·Irish Journal of Medical Science·Yahya ElhassanJames Harty
Aug 9, 2020·Orthopaedics & Traumatology, Surgery & Research : OTSR·Pierre LavignacUNKNOWN Members of the S.O.F.C.O.T.

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