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Functional and Survival Outcomes of Patients following the Harrington Procedure for Complex Acetabular Metastatic Lesions
Background: The Harrington surgical technique makes it possible to manage complex, extensive bone lesions using pins and cement to consolidate bone for acetabular cup positioning. However, it may be associated with a high reoperation rate, and the functional results of this surgery are not precisely...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9406529/ https://www.ncbi.nlm.nih.gov/pubmed/36005202 http://dx.doi.org/10.3390/curroncol29080464 |
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author | Plaud, Andrea Gaillard, Jean Gouin, François Le Thuaut, Aurélie Ageneau, Peggy Berchoud, Juliane Fouasson-Chailloux, Alban Crenn, Vincent |
author_facet | Plaud, Andrea Gaillard, Jean Gouin, François Le Thuaut, Aurélie Ageneau, Peggy Berchoud, Juliane Fouasson-Chailloux, Alban Crenn, Vincent |
author_sort | Plaud, Andrea |
collection | PubMed |
description | Background: The Harrington surgical technique makes it possible to manage complex, extensive bone lesions using pins and cement to consolidate bone for acetabular cup positioning. However, it may be associated with a high reoperation rate, and the functional results of this surgery are not precisely described in the literature. Methods: In a monocentric retrospective study including all patients operated on using the Harrington procedure associated with THA between 2005 and 2020, we aimed to assess preoperative and postoperative function, reoperation-free survival, and overall survival. Results: Functional improvement was significant for Parker scores (preoperative: 3.6 ± 2.0; 6-month follow-up: 6.6 ± 3.2; 12-month follow-up: 7.6 ± 2.1) and Musculoskeletal Tumor Society (MSTS) scores (preoperative: 31.1 ± 16.2%; 6-month follow-up: 67.7 ± 30.6%; 12-month follow-up: 82.4 ± 24.0%). Of the 21 patients included, the reoperation-free survival rate was 76.1% [CI 95%: 58.1–99.7] at six and twelve months, with the main complications being pin migration (50.0%) and infection (25%). The patient overall survival rate was 76.2% [95% CI: 59.9–96.7] at six months and 61.9% [95% CI: 59.9–96.7] at 12 months. Discussion: These results underlined significant functional improvements following a conventional Harrington procedure, with acceptable reoperation rates. |
format | Online Article Text |
id | pubmed-9406529 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-94065292022-08-26 Functional and Survival Outcomes of Patients following the Harrington Procedure for Complex Acetabular Metastatic Lesions Plaud, Andrea Gaillard, Jean Gouin, François Le Thuaut, Aurélie Ageneau, Peggy Berchoud, Juliane Fouasson-Chailloux, Alban Crenn, Vincent Curr Oncol Article Background: The Harrington surgical technique makes it possible to manage complex, extensive bone lesions using pins and cement to consolidate bone for acetabular cup positioning. However, it may be associated with a high reoperation rate, and the functional results of this surgery are not precisely described in the literature. Methods: In a monocentric retrospective study including all patients operated on using the Harrington procedure associated with THA between 2005 and 2020, we aimed to assess preoperative and postoperative function, reoperation-free survival, and overall survival. Results: Functional improvement was significant for Parker scores (preoperative: 3.6 ± 2.0; 6-month follow-up: 6.6 ± 3.2; 12-month follow-up: 7.6 ± 2.1) and Musculoskeletal Tumor Society (MSTS) scores (preoperative: 31.1 ± 16.2%; 6-month follow-up: 67.7 ± 30.6%; 12-month follow-up: 82.4 ± 24.0%). Of the 21 patients included, the reoperation-free survival rate was 76.1% [CI 95%: 58.1–99.7] at six and twelve months, with the main complications being pin migration (50.0%) and infection (25%). The patient overall survival rate was 76.2% [95% CI: 59.9–96.7] at six months and 61.9% [95% CI: 59.9–96.7] at 12 months. Discussion: These results underlined significant functional improvements following a conventional Harrington procedure, with acceptable reoperation rates. MDPI 2022-08-19 /pmc/articles/PMC9406529/ /pubmed/36005202 http://dx.doi.org/10.3390/curroncol29080464 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Plaud, Andrea Gaillard, Jean Gouin, François Le Thuaut, Aurélie Ageneau, Peggy Berchoud, Juliane Fouasson-Chailloux, Alban Crenn, Vincent Functional and Survival Outcomes of Patients following the Harrington Procedure for Complex Acetabular Metastatic Lesions |
title | Functional and Survival Outcomes of Patients following the Harrington Procedure for Complex Acetabular Metastatic Lesions |
title_full | Functional and Survival Outcomes of Patients following the Harrington Procedure for Complex Acetabular Metastatic Lesions |
title_fullStr | Functional and Survival Outcomes of Patients following the Harrington Procedure for Complex Acetabular Metastatic Lesions |
title_full_unstemmed | Functional and Survival Outcomes of Patients following the Harrington Procedure for Complex Acetabular Metastatic Lesions |
title_short | Functional and Survival Outcomes of Patients following the Harrington Procedure for Complex Acetabular Metastatic Lesions |
title_sort | functional and survival outcomes of patients following the harrington procedure for complex acetabular metastatic lesions |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9406529/ https://www.ncbi.nlm.nih.gov/pubmed/36005202 http://dx.doi.org/10.3390/curroncol29080464 |
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