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Reconstruction of acetabulum in revision total hip arthroplasty for pelvic discontinuity: report of a difficult case requiring four revision arthroplasty

BACKGROUND: Massive bone defects of the acetabulum with pelvic discontinuity are one of the major problems in revision total hip arthroplasty. Several techniques have been described for repair of acetabular defect; however, reconstruction of acetabulum with massive bone defect is still a major probl...

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Autores principales: Kokubo, Yasuo, Oki, Hisashi, Takeura, Naoto, Negoro, Kohei, Takeno, Kenichi, Miyazaki, Tsuyoshi, Sugita, Daisuke, Nakajima, Hideaki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer International Publishing 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4864750/
https://www.ncbi.nlm.nih.gov/pubmed/27247893
http://dx.doi.org/10.1186/s40064-016-2247-9
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author Kokubo, Yasuo
Oki, Hisashi
Takeura, Naoto
Negoro, Kohei
Takeno, Kenichi
Miyazaki, Tsuyoshi
Sugita, Daisuke
Nakajima, Hideaki
author_facet Kokubo, Yasuo
Oki, Hisashi
Takeura, Naoto
Negoro, Kohei
Takeno, Kenichi
Miyazaki, Tsuyoshi
Sugita, Daisuke
Nakajima, Hideaki
author_sort Kokubo, Yasuo
collection PubMed
description BACKGROUND: Massive bone defects of the acetabulum with pelvic discontinuity are one of the major problems in revision total hip arthroplasty. Several techniques have been described for repair of acetabular defect; however, reconstruction of acetabulum with massive bone defect is still a major problem. We describe a patient who required four revision total hip arthroplasty during a 24-year period. FINDINGS: The acetabulum with pelvic discontinuity was successfully reconstructed by stabilization of the posterior column with a plate commonly used for fracture treatment, and stabilization of the anterior column by reinforcement device commonly used for acetabular reconstruction. Fixation of both acetabular columns provided significant improvement of component stability. CONCLUSIONS: In the case of pelvic discontinuity with massive acetabular bone defect, reconstruction by stabilizing both acetabular columns using reconstruction plate and KT plate is one of the better surgical options.
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spelling pubmed-48647502016-05-31 Reconstruction of acetabulum in revision total hip arthroplasty for pelvic discontinuity: report of a difficult case requiring four revision arthroplasty Kokubo, Yasuo Oki, Hisashi Takeura, Naoto Negoro, Kohei Takeno, Kenichi Miyazaki, Tsuyoshi Sugita, Daisuke Nakajima, Hideaki Springerplus Technical Note BACKGROUND: Massive bone defects of the acetabulum with pelvic discontinuity are one of the major problems in revision total hip arthroplasty. Several techniques have been described for repair of acetabular defect; however, reconstruction of acetabulum with massive bone defect is still a major problem. We describe a patient who required four revision total hip arthroplasty during a 24-year period. FINDINGS: The acetabulum with pelvic discontinuity was successfully reconstructed by stabilization of the posterior column with a plate commonly used for fracture treatment, and stabilization of the anterior column by reinforcement device commonly used for acetabular reconstruction. Fixation of both acetabular columns provided significant improvement of component stability. CONCLUSIONS: In the case of pelvic discontinuity with massive acetabular bone defect, reconstruction by stabilizing both acetabular columns using reconstruction plate and KT plate is one of the better surgical options. Springer International Publishing 2016-05-11 /pmc/articles/PMC4864750/ /pubmed/27247893 http://dx.doi.org/10.1186/s40064-016-2247-9 Text en © The Author(s). 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Technical Note
Kokubo, Yasuo
Oki, Hisashi
Takeura, Naoto
Negoro, Kohei
Takeno, Kenichi
Miyazaki, Tsuyoshi
Sugita, Daisuke
Nakajima, Hideaki
Reconstruction of acetabulum in revision total hip arthroplasty for pelvic discontinuity: report of a difficult case requiring four revision arthroplasty
title Reconstruction of acetabulum in revision total hip arthroplasty for pelvic discontinuity: report of a difficult case requiring four revision arthroplasty
title_full Reconstruction of acetabulum in revision total hip arthroplasty for pelvic discontinuity: report of a difficult case requiring four revision arthroplasty
title_fullStr Reconstruction of acetabulum in revision total hip arthroplasty for pelvic discontinuity: report of a difficult case requiring four revision arthroplasty
title_full_unstemmed Reconstruction of acetabulum in revision total hip arthroplasty for pelvic discontinuity: report of a difficult case requiring four revision arthroplasty
title_short Reconstruction of acetabulum in revision total hip arthroplasty for pelvic discontinuity: report of a difficult case requiring four revision arthroplasty
title_sort reconstruction of acetabulum in revision total hip arthroplasty for pelvic discontinuity: report of a difficult case requiring four revision arthroplasty
topic Technical Note
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4864750/
https://www.ncbi.nlm.nih.gov/pubmed/27247893
http://dx.doi.org/10.1186/s40064-016-2247-9
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