The reconstruction of periprosthetic pelvic discontinuity.
The surgical techniques and outcomes of acetabular reconstruction for periprosthetic pelvic discontinuity cases are reported. The mean time to surgery for 9 patients with acute pelvic discontinuity was 16.3 days, with 8 patients (88%) having posterior column plating and a porous metal acetabular cup. No cases required revision surgery, with a mean follow-up of 34 months (range, 24-67 months). Of the 62 chronic pelvic discontinuity cases, 20 had an ilioischial cage, with a revision rate of 29%. There were 42 cup-cage reconstructions with an 8-year survivorship of 86.3%, with a mean follow-up of 35 months (range, 24-93 months). Stable reconstruction of chronic pelvic discontinuity was achievable by distraction using a cup-cage acetabular reconstruction; however, satisfactory stability of acute pelvic discontinuity was achieved with compression of the posterior column using screw augmentation of the acetabular shell supplemented by posterior column plating.
Division of Orthopaedic Surgery, Mount Sinai Hospital, Toronto, Ontario, Canada.
Benedict A
BA
Rogers
Paul M
PM
Whittingham-Jones
Philip A
PA
Mitchell
Oleg A
OA
Safir
Martin D
MD
Bircher
Allan E
AE
Gross
D000077:Acetabulum / Q000293:injuries* / Q000601:surgery*; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001847:Bone Diseases / Q000601:surgery*; D005260:Female; D050723:Fractures, Bone / Q000601:surgery*; D006622:Hip Prosthesis; D006801:Humans; D008875:Middle Aged