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A technique for removing an intrapelvic acetabular cup
P Grigoris1, P Roberts, D J McMinn
1Royal Orthopaedic Hospital, Birmingham, England.
The Journal of Bone and Joint Surgery. British Volume
|January 1, 1993
Summary
A novel retroperitoneal surgical approach safely removes acetabular components migrated into the pelvis. Dense fibrous tissue surrounding the implant shields iliac vessels during this acetabular component removal procedure.
Area of Science:
- Orthopedic surgery
- Surgical techniques
Background:
- Acetabular component migration into the pelvis is a complication of hip arthroplasty.
- Such migration poses challenges for revision surgery due to proximity to vital structures like iliac vessels.
Purpose of the Study:
- To present a simple, retroperitoneal surgical approach for the removal of migrated acetabular components.
- To highlight the safety and efficacy of this technique, particularly regarding protection of pelvic vasculature.
Main Methods:
- A retroperitoneal surgical approach was utilized.
- The technique involves careful dissection around the migrated acetabular component.
- Emphasis is placed on the protective role of the surrounding fibrous capsule.
Main Results:
- The described retroperitoneal approach facilitates the removal of acetabular components migrated into the pelvis.
- The dense fibrous tissue surrounding the implant was observed to protect the iliac vessels during the removal procedure.
Conclusions:
- This retroperitoneal method offers a safe and effective option for managing migrated acetabular components.
- The inherent anatomical structures provide significant protection to pelvic vessels during the surgical removal.