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Reconstruction of advanced periacetabular metastatic lesions with modified Harrington procedure

Year 2016, Volume: 50 Issue: 2, 178 - , 11.03.2016

Abstract

Objective: The purpose of this study was to assess the outcomes of patients who had been treated by a modified Harrington procedure for advanced periacetabular metastases.
Methods: Between 2006 and 2013, 16 patients with a mean age of 57 years (range: 28–73 years) were treated using a modified Harrington technique. Extensive (class II/III) periacetabular defects were due to metastatic carcinoma or multiple myeloma. Surgical procedure included total hip replacement and acetabular reconstruction using threaded pins, cemented acetabular reinforcement ring, and/or polyethylene cup.
Results: All patients improved in regard to pain and walking ability. Mean preoperative and postoperative Musculoskeletal Tumour Society (MSTS) functional scores were 52.8% (range: 33.3–73.3%) and 72% (range: 56.6–90%), respectively (p<0.05). There were 5 (31%) early or late complications requiring additional surgery. Implant survival was 75% and 37.5% at 12 and 18 months, respectively. Mean survival of the patients was 21 months (range: <1–6 years). Six remained alive, with a mean survival of 27 months (range: 18 months to 5 years).
Conclusion: This modified Harrington procedure can be used for reconstruction of advanced periacetabular metastatic lesions.

Year 2016, Volume: 50 Issue: 2, 178 - , 11.03.2016

Abstract

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Details

Primary Language English
Journal Section Original Article
Authors

Bulent Erol This is me

Ahmet Aydemir This is me

Tolga Onay

Mert Topkar This is me

Publication Date March 11, 2016
Published in Issue Year 2016 Volume: 50 Issue: 2

Cite

APA Erol, B., Aydemir, A., Onay, T., Topkar, M. (2016). Reconstruction of advanced periacetabular metastatic lesions with modified Harrington procedure. Acta Orthopaedica Et Traumatologica Turcica, 50(2), 178.
AMA Erol B, Aydemir A, Onay T, Topkar M. Reconstruction of advanced periacetabular metastatic lesions with modified Harrington procedure. Acta Orthopaedica et Traumatologica Turcica. March 2016;50(2):178.
Chicago Erol, Bulent, Ahmet Aydemir, Tolga Onay, and Mert Topkar. “Reconstruction of Advanced Periacetabular Metastatic Lesions With Modified Harrington Procedure”. Acta Orthopaedica Et Traumatologica Turcica 50, no. 2 (March 2016): 178.
EndNote Erol B, Aydemir A, Onay T, Topkar M (March 1, 2016) Reconstruction of advanced periacetabular metastatic lesions with modified Harrington procedure. Acta Orthopaedica et Traumatologica Turcica 50 2 178.
IEEE B. Erol, A. Aydemir, T. Onay, and M. Topkar, “Reconstruction of advanced periacetabular metastatic lesions with modified Harrington procedure”, Acta Orthopaedica et Traumatologica Turcica, vol. 50, no. 2, p. 178, 2016.
ISNAD Erol, Bulent et al. “Reconstruction of Advanced Periacetabular Metastatic Lesions With Modified Harrington Procedure”. Acta Orthopaedica et Traumatologica Turcica 50/2 (March 2016), 178.
JAMA Erol B, Aydemir A, Onay T, Topkar M. Reconstruction of advanced periacetabular metastatic lesions with modified Harrington procedure. Acta Orthopaedica et Traumatologica Turcica. 2016;50:178.
MLA Erol, Bulent et al. “Reconstruction of Advanced Periacetabular Metastatic Lesions With Modified Harrington Procedure”. Acta Orthopaedica Et Traumatologica Turcica, vol. 50, no. 2, 2016, p. 178.
Vancouver Erol B, Aydemir A, Onay T, Topkar M. Reconstruction of advanced periacetabular metastatic lesions with modified Harrington procedure. Acta Orthopaedica et Traumatologica Turcica. 2016;50(2):178.