Management of Pelvic Discontinuity in Revision Total Hip Arthroplasty: A Review of the Literature
2014; SAGE Publishing; Volume: 25; Issue: 2 Linguagem: Inglês
10.5301/hipint.5000201
ISSN1724-6067
AutoresM. Abdel-Nasser, Frank M. Klenke, Patrick W. Whitlock, Aly Mohamadean Mohamed Khalil, Yaser E. Khalifa, Hassan Ali, Klaus A. Siebenrock,
Tópico(s)Orthopedic Infections and Treatments
ResumoPelvic discontinuity is a complex problem in revision total hip arthroplasty. Although rare, the incidence is likely to increase due to the ageing population and the increasing number of total hip arthroplasties being performed. The various surgical options available to solve this problem include plating, massive allografts, reconstruction rings, custom triflanged components and tantalum implants. However, the optimal solution remains controversial. None of the known methods completely solves the major obstacles associated with this problem, such as restoration of massive bone loss, implant failure in the short- and long-term and high complication rates. This review discusses the diagnosis, decision making, and treatment options of pelvic discontinuity in revision total hip arthroplasty.
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