The modified Harrington procedure for metastatic peri-acetabular bone destruction

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Reconstruction of metastatic acetabular defects using a modified Harrington procedure.

BACKGROUND AND PURPOSE Metastases engaging the acetabulum result in significant disability. We investigated the outcome after curettage and reconstruction of the defect with a protrusio cage, retrograde screws, and a cemented total hip arthroplasty. PATIENTS AND METHODS We retrospectively identified 70 consecutive patients who were surgically treated for metastatic disease of the acetabulum b...

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The three-pin modified 'Harrington' procedure for advanced metastatic destruction of the acetabulum.

Pathological fractures due to metastasis with destruction of the acetabulum and central dislocation of the hip present a difficult surgical challenge. We describe a series using a single technique in which a stable and long-lasting reconstruction was obtained using standard primary hip replacement implants augmented by strong, fully-threaded steel rods with cement and steel mesh, where required...

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Modified Harrington Procedure for Acetabular Insuficiency Due to Metastatic Malignant Disease

Extensive peri-acetabular osteolysis caused by malignant disease process is a major surgical challenge as conventional hip arthroplasty is not adequate. We describe a modified use of the Harrington procedure for acetabular insufficiency secondary to metastatic disease in twelve patients. The procedures include application of multiple threaded pins to bridge the acetabular columns, anti-protrusi...

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Peri-acetabular bone mineral density in total hip replacement

OBJECTIVES To quantify and compare peri-acetabular bone mineral density (BMD) between a monoblock acetabular component using a metal-on-metal (MoM) bearing and a modular titanium shell with a polyethylene (PE) insert. The secondary outcome was to measure patient-reported clinical function. METHODS A total of 50 patients (25 per group) were randomised to MoM or metal-on-polyethlene (MoP). Ther...

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Erratum to: The Bernese peri-acetabular osteotomy through a modified approach. A technical note

In the original publication, the first and surname of the second author was wrongly published as ‘‘N. Kirit Patel’’ in affiliation. The correct name should read as ‘‘N. K. Patel’’. Open Access This article is distributed under the terms of the Creative Commons Attribution License which permits any use, distribution, and reproduction in any medium, provided the original author(s) and the source ...

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ژورنال

عنوان ژورنال: International Orthopaedics

سال: 2013

ISSN: 0341-2695,1432-5195

DOI: 10.1007/s00264-013-1940-3