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A modified Harrington technique for periacetabular reconstruction in advanced metastatic bone disease and a discussion of alternative treatment options
- Source :
- Orthopedic Reviews, Vol 12, Iss 4 (2021), Orthopedic Reviews
- Publication Year :
- 2021
- Publisher :
- Open Medical Publishing, 2021.
-
Abstract
- Management of periacetabular lesions involves complex clinical decision making. The modified Harrington procedure with total hip arthroplasty can recreate pelvic stability with a cement rebar construct as well as a functional hip. This study analyzes the modified Harrington procedure to assess construct longevity and patient outcomes. We queried a prospectively maintained database to identify all patients at a large academic medical center from 2017 to 2019 with periacetabular metastatic disease treated with a modified Harrington. Medical records were reviewed and complications, patient outcomes, Musculoskeletal Society Tumor (MSTS) scores, and implant survival were recorded. A total of nine patients were treated with the modified Harrington between 2017 and 2019. At maximum follow- up there were zero revisions or longterm complications. The mean preoperative MSTS score was 2.2 (range, 0-18), compared to the mean postoperative MSTS score of 17.7 (range, 9-25) recorded at a mean 4 (range, 1-30) months following surgery (p
- Subjects :
- Orthopedic surgery
medicine.medical_specialty
Bone disease
business.industry
Medical record
metastsasis
pelvis
medicine.disease
Acetabulum
Alternative treatment
Article
Surgery
surgery
medicine.anatomical_structure
medicine
metastasis
orthopedics
Orthopedics and Sports Medicine
Implant
acetabulum
business
Pelvis
RD701-811
Total hip arthroplasty
Subjects
Details
- Language :
- English
- ISSN :
- 20358164 and 20358237
- Volume :
- 12
- Issue :
- 4
- Database :
- OpenAIRE
- Journal :
- Orthopedic Reviews
- Accession number :
- edsair.doi.dedup.....cf547274cdcb3abd0eaaf0c6311f0094