Reinforced reconstruction: A technique for the treatment of periacetabular metastases

J Orthop. 2021 Sep 1:27:63-68. doi: 10.1016/j.jor.2021.08.013. eCollection 2021 Sep-Oct.

Abstract

Purpose: To describe a single-stage reconstruction of intraarticular periacetabular metastases that utilizes a cemented acetabular liner reinforced with percutaneous screws oriented along various osseous fixation pathways.

Methods: A retrospective evaluation of all patients with intraarticular periacetabular metastases who underwent the procedure outlined.

Results: 16 procedures (1 bilateral) were included. There were no intraoperative complications or postoperative mechanical failures to date despite allowing the patients to immediately weight bear in the postoperative setting.

Discussion: Utilizing osseous fixation pathways to reinforce a cemented acetabular cup represents a safe and effective strategy to allow for immediate weightbearing in patients with periacetabular metastases.

Keywords: Oncology; Osseous fixation pathways; Periacetabular metastases; Total hip arthroplasty.