Reconstruction Using Conventional Implants in a Patient With an Acetabular Fracture Due to Cervical Cancer...

Metastases in the acetabular area pose significant difficulties for management. Lytic lesions associated with pathological fractures lead to pain and disability. In patients with limited survival, reconstructive surgery may allow swift functional recovery and pain relief. Reconstructive techniques vary from percutaneous insertion of screws to complex reconstructions by means of personalized 3D-printed implants. On the other hand, osseous metastases from cervical cancer are infrequent and lytic in nature, and reports on surgical management are scarce. We present the case of a 37-year-old female patient with a pathological fracture and severe osteolysis in the acetabular area, due to metastases from cervical cancer. Reconstruction was undertaken with the use of regular implants common to endoprosthetic replacements, along with the reinforcement of the osseous bed with hydroxyapatite-coated Schanz pins and an acetabular cage. Post-operative improvement in the modified Harris Hip Score in this patient supports this approach as a cost-effective method.