A 17-Year Follow-Up of Modified 'Harrington' Reconstruction After Acetabular Resection
| Autor: | Suhel Y. Kotwal, Henry A. Finn |
|---|---|
| Rok vydání: | 2011 |
| Předmět: |
medicine.medical_specialty
Arthroplasty Replacement Hip Radiography medicine.medical_treatment Pain relief Bone Neoplasms Class iii Bone Nails Resection Ilium medicine Humans Orthopedics and Sports Medicine Neoplasms Plasma Cell business.industry Acetabular reconstruction Mechanical failure Acetabulum Recovery of Function Middle Aged Arthralgia Arthroplasty Surgery Treatment Outcome Female Hip Joint Hip Prosthesis business Follow-Up Studies |
| Zdroj: | The Journal of Arthroplasty. 26:1570.e21-1570.e24 |
| ISSN: | 0883-5403 |
| DOI: | 10.1016/j.arth.2010.12.002 |
| Popis: | Acetabular reconstruction after resection of advanced periacetabular metastatic lesion is a complex undertaking. Harrington (J Bone Joint Surg [Am]. 1981;63-653) described a reconstructive technique in class III- and IV-type resections using threaded Steinmann pins and acrylic cement. This technique, although effective for pain relief and restoration of function, is traditionally considered when patient's life expectancy is short because of its questionable durability. A 17-year follow-up of our patient with plasma cell cytoma of the ilium and acetabulum, treated with a modification of the above technique after intralesional curettage, showed no mechanical failure or loosening. This suggests that the construct can be durable where there is no recurrence of disease and can also be a valuable asset in selected nontumor cases in adjunct to contemporary techniques. |
| Databáze: | OpenAIRE |
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