Radiographic evaluation of acetabular bone stock in failed total hip arthroplasty

Evaluation of available bone stock in failed hip arthroplasty where significant osteolysis has occurred is often difficult, since information about the osseous integrity of the innominate bone is obscured by methacrylate and metal. A simple, inexpensive, and reliable solution is the use of the cross-table lateral view of the hip, with modifications of technique to demonstrate osseous anatomy. The author describes this technique and the anatomy of the pelvis from this oblique perspective. Illustrative case reports are presented.