Bleeding from the superior gluteal (SG) blood vessels at the greater sciatic notch is frequently encountered during acetabular fracture surgery. The purpose of this study is to define the positional anatomy of the superior gluteal vessels and nerve (SGVAN) at the greater sciatic notch. Twenty-three hemipelvi were dissected in whole human cadavers. The greater sciatic notch and SGVAN were visual...

BACKGROUND The use of impaction grafting in revisions with larger acetabular bone defects has mixed outcomes and sometimes high failures rates. PATIENTS AND METHODS This prospective, single-center study involved a consecutive series of 24 patients who underwent complex reconstruction of the acetabulum using a trabecular metal augment, impaction bone grafting, and a cemented high-density polye...

We set out to determine the impact of surgery on quality of life and function in patients who had undergone surgery for symptomatic peri-acetabular metastases. From a prospective database we retrospectively reviewed 46 consecutive patients who had been treated operatively between June 2003 and June 2009. The mean age of the patients was 56.4 years (20 to 73) and the mean post-operative follow-u...

The purpose of this study is to investigate the outcomes from anchor-induced chondral damage of the hip, both with and without frank chondral penetration. A multicenter retrospective case series was performed of patients with chondral deformation or penetration during initial hip arthroscopic surgery. Intra-operative findings, post-surgical clinical courses, hip outcome scores and descriptions ...

BACKGROUND Acetabular dysplasia associated with deformity of the proximal part of the femur can result in hip dysfunction and degenerative arthritis in young adults. The optimal method of surgical correction for these challenging combined deformities remains controversial. METHODS We retrospectively analyzed twenty-four hips in twenty patients who underwent a Bernese periacetabular osteotomy,...

The natural course of adverse events following the use of metal-on-metal (MoM) bearings in total hip arthroplasty (THA) is not well known. In this article, we report the case of a patient with asymptomatic major acetabular osteolysis following MoM THA that diminished gradually without any surgical intervention. A 58-year-old male underwent one-stage bilateral MoM THA for bilateral osteoarthriti...

Femoroacetabular impingement (FAI) causes pain and chondrolabral damage via mechanical overload during movement of the hip. It is caused by many different types of pathoanatomy, including the cam 'bump', decreased head-neck offset, acetabular retroversion, global acetabular overcoverage, prominent anterior-inferior iliac spine, slipped capital femoral epiphysis, and the sequelae of childhood Pe...

Objective. To evaluate morbidity and functional outcome of surgically treated pelvic fractures acetabular in our institution. Methods. A chart review was done to identify subjects with injuries open reduction internal fixation from 2014–2019. We collected data for blood loss, time surgery, post-surgical intervention, the Majeed score score. Results. included 11 patients (8 males, 3 females; m...

Total femur replacement is a limb salvage surgery indicated for patients with oncological and non-oncological pathologies of the femur. Given characteristics patients, there are essential perioperative considerations such as previous treatment chemotherapy or radiotherapy, prevention thromboembolic events, hemorrhage management, booking an intensive care unit. As demanding surgical technique is...

In 192 operated patients with tumors and tumorlike diseases functional results were analyzed. 162 radical sparing operations performed according to oncologic demands preservation of static-dynamic function pelvic girdle lower extremity. High efficacy those was confirmed by clinical biomechanical data. Long term showed the necessity perfect reconstructive surgery on posterior semi-ring. Elaborat...