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[Total prosthesis implantation with added pelvic osteosynthesis].
1Universitätsklinik für Orthopädische Chirurgie, Inselspital Bern.
Der Orthopade
|November 1, 1989
Summary
This study explored total hip replacement with large bone grafts for acetabular reconstruction. Results show promising stability using pelvic plates in complex cases.
Area of Science:
- Orthopedic Surgery
- Reconstructive Surgery
Context:
- Complex acetabular reconstruction presents significant surgical challenges.
- Large bone defects and severe instability often require advanced fixation techniques.
Purpose:
- To document experience with total hip replacement involving large bone-graft reconstruction of the acetabulum.
- To evaluate the efficacy of internal fixation, including pelvic plates, in managing acetabular defects and instability.
Summary:
- The study reviewed 14 cases of total hip replacement with extensive acetabular reconstruction.
- Cases included elderly patients with fresh acetabular fractures, acetabular component loosening with non-union, and defects post-tumor resection.
- Internal fixation, particularly pelvic plates, was employed for stabilization, with only one instance of loosening observed.
Impact:
- The findings suggest pelvic plates enhance stability in extremely unstable acetabular reconstructions.
- This approach shows promise for improving outcomes in complex hip replacement revision and reconstruction surgeries.
- Further use of pelvic plates is planned for highly unstable acetabular reconstructions.