Affiliation:
1. University of California Irvine Medical Center, Orange, California - USA
2. Tahoe Fracture and Orthopedic Medical Clinic, Carson, Nevada - USA
Abstract
Pelvic discontinuity is an uncommon condition that usually presents in the revision total hip arthroplasty population. However, its incidence will most likely increase due to the increasing number of primary and revision total hip arthroplasties (THA) done in recent years. Pelvic discontinuity (acetabular disassociation) is perhaps one of the more challenging cases for the hip arthroplasty surgeon to manage. Historically, the management of pelvic discontinuity has been wrought with many challenges. What follows is a review of the current techniques and outcomes for acetabular reconstruction in patients with acetabular disassociation including: porous metal components, internal fixation with acetabular reconstruction, acetabular distraction with jumbo cups, cup and cage construct, and the use of custom triflange. The complexity of pelvic discontinuity and with the myriad of options available to the hip arthroplasty surgeon to address this particular issue, pre-operative planning becomes all the more essential.
Subject
Orthopedics and Sports Medicine,Surgery
Cited by
21 articles.
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