A modified iliofemoral approach to intrapelvic acetabular revision – technical note()

Among the patterns of acetabular osteolysis associated with acetabular loosening, the authors emphasize the severity of pelvic dissociation and medial segmental losses in which the quadrilateral lamina is severely affected. Such lesions are potentially lethal in cases of large vascular injury. This...

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Detalles Bibliográficos
Autores principales: Vicente, José Ricardo Negreiros, Miyahara, Helder de Souza, Ejnisman, Leandro, Souza, Bruno de Biase, Gurgel, Henrique Melo, Croci, Alberto Tesconi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2018
Materias:
Technical Note
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6152800/
https://www.ncbi.nlm.nih.gov/pubmed/30258834
http://dx.doi.org/10.1016/j.rboe.2017.06.013
Descripción
Sumario:Among the patterns of acetabular osteolysis associated with acetabular loosening, the authors emphasize the severity of pelvic dissociation and medial segmental losses in which the quadrilateral lamina is severely affected. Such lesions are potentially lethal in cases of large vascular injury. This note aimed to describe a modified iliofemoral approach in cases of massive intrapelvic migration of the acetabular component in patients with total proximity of the iliac vascular bundle and absence of an anatomical demarcation plane between the migrated contents and the iliac bundle. This approach was performed in 12 of 21 patients who had these criteria.

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