PMID: 8948245Oct 1, 1996Paper

Reconstruction in metastatic destruction of the acetabulum. Support rings and arthroplasty in 12 patients

Acta Orthopaedica Scandinavica
A Stark, H C Bauer

Abstract

In 12 patients with acetabular metastases, we reconstructed the hip with a support ring, cement, and Charnley prosthesis with a 22 mm head. There were no immediate postoperative deaths or cardiovascular complications. Dislocations occurred in 5 patients, 1 of whom required open reduction. At follow-up, 3 patients were alive 11, 15, and 18 months after surgery. 9 patients died after 8 (2-13) months. All patients obtained relief from pain, became ambulatory and were discharged to their homes. 1 patient had rapid disease progression with pathologic fracture and cranial dislocation of the support ring. Among the remaining 11 patients, the hip has not again caused pain or limited function. There were no signs of loosening, except in the patient with fracture of the hemipelvis. Remineralization was observed in 2 breast cancer patients after chemotherapy. Hip reconstruction can restore painless function until death in cancer patients with severe destruction of the acetabulum.

References

Apr 1, 1995·Acta Orthopaedica Scandinavica·H C Bauer, R Wedin

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Citations

Jun 13, 2013·International Orthopaedics·Ines VielgutAndreas Leithner
Jul 15, 2011·Archives of Orthopaedic and Trauma Surgery·Steffen HoellJendrik Hardes
Sep 17, 2014·Annals of Surgical Oncology·Thomas J WoodBenjamin M Deheshi
Feb 8, 2011·The Journal of Arthroplasty·Suhel Y Kotwal, Henry A Finn
Feb 23, 2010·Orthopaedics & Traumatology, Surgery & Research : OTSR·J-M PhilippeauF Gouin
Jul 2, 2011·Orthopedics·Pietro RuggieriMario Mercuri
Apr 3, 2007·Injury·Panayiotis J PapagelopoulosPanayotis N Soucacos
Nov 26, 2009·Journal of Surgical Oncology·Lance HoLawrence R Menendez
Oct 24, 2000·The Orthopedic Clinics of North America·F R Patterson, T D Peabody
Nov 6, 2003·Clinical Orthopaedics and Related Research·Jay S WunderRobert S Bell
Apr 28, 2005·The Journal of Bone and Joint Surgery. British Volume·H C F Bauer
Feb 20, 2007·Clinical Orthopaedics and Related Research·Michelle GhertNigel Colterjohn
Sep 4, 2004·Clinical Orthopaedics and Related Research·J BeneveniaM C Leeson
Dec 28, 2007·The Journal of Bone and Joint Surgery. British Volume·R M TillmanR J Grimer

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