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Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse
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Pelvic discontinuity: current solutions.

J Petrie1, A Sassoon, G J Haidukewych

  • 1Orlando Health Orthopedic Insitute, 1222 S. Orange Ave, Orlando, Florida 32806, USA.

The Bone & Joint Journal
|November 5, 2013
PubMed
Summary
This summary is machine-generated.

Pelvic discontinuity, often seen in revision hip surgery, requires restoring pelvic continuity with plating and bone grafting. Advanced techniques like cup-cage reconstruction or custom implants may be needed for severe cases.

Keywords:
Pelvic discontinuity; revision total hip arthroplasty; Iatrogenic pelvic discontinuity; acetabular fracture

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Area of Science:

  • Orthopaedic Surgery
  • Biomedical Engineering

Background:

  • Pelvic discontinuity is a rare complication, often associated with revision total hip replacement or acetabular fractures during hip arthroplasty.
  • Management presents significant challenges for orthopaedic surgeons.

Purpose of the Study:

  • To outline the principles and techniques for managing pelvic discontinuity.
  • To highlight the role of advanced reconstructive methods and imaging in achieving successful outcomes.

Main Methods:

  • Restoration of pelvic continuity using plating and bone grafting.
  • Impaction of uncemented acetabular components with supplemental screw fixation.
  • Utilization of specialized implants such as cup-cage reconstructions or custom triflange implants for larger defects.
  • Pre-operative CT scanning for surgical planning and assessment of bone stock.

Main Results:

  • Successful management relies on restoring stability and facilitating bony ingrowth.
  • Advanced reconstructive techniques address complex pelvic defects.
  • Pre-operative imaging aids in planning and bone stock evaluation.

Conclusions:

  • Effective management of pelvic discontinuity involves anatomical reconstruction and biological fixation.
  • Custom implants and advanced techniques offer solutions for complex cases.
  • Restoring pelvic integrity and promoting bone ingrowth are key to favorable outcomes.