Percutaneous Acetabuloplasty Compared With Open Reconstruction for Extensive Periacetabular Carcinoma Metastases

被引：19

作者：

Colman, Matthew W. ^{[1
]}

Karim, Syed M. ^{[2
]}

Hirsch, Joshua A. ^{[3
]}

Yoo, Albert J. ^{[3
]}

Schwab, Joseph H. ^{[2
]}

Hornicek, Francis J. ^{[2
]}

Raskin, Kevin A. ^{[2
]}

机构：

[1] Rush Univ, Midwest Orthoped, Chicago, IL 60612 USA

[2] Massachusetts Gen Hosp, Harvard Combined Dept Orthoped, Boston, MA 02114 USA

[3] Massachusetts Gen Hosp, Dept Neuroradiol, Boston, MA 02114 USA

来源：

JOURNAL OF ARTHROPLASTY | 2015年 / 30卷 / 09期

关键词：

periacetabular; metastasis; carcinoma; acetabuloplasty; cement; Harrington reconstruction; ACETABULAR RECONSTRUCTION; BREAST-CANCER; CEMENT; VERTEBROPLASTY; INSUFFICIENCY; INJECTION; DISEASE; LESIONS; HIP;

D O I：

10.1016/j.arth.2015.02.022

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

For destructive metastatic periacetabular disease, options include open acetabular reconstruction or percutaneous cement acetabuloplasty (PA). We reviewed 28 consecutive patients with Harrington grade II or III lesions, 17 who underwent Harrington-type or anti-protrusio reconstruction and 11 who underwent PA. Primary outcome measures were performance status (PS), ambulatory status (0 = unassisted ambulation, 1 = assisted ambulation, 2 = nonambulatory), and 10-point VAS score. The surgery group had better pain reduction than the PA group at 3 months (3.6 vs. 1.5 points, P = 0.04), and a trend at final follow-up (3.8 vs. 1.4 points, P = 0.06). Improvement in ambulatory status was better in the surgery group at 3 months only (0.53 vs. -0.14, P = 0.03). Thus compared with PA, open reconstruction may provide improved pain relief and ambulation. (C) 2015 Elsevier Inc. All rights reserved.

引用

页码：1586 / 1591

页数：6

共 21 条

[11] A biomechanical study of periacetabular defects and cement filling [J].

Li, Zuoping ;

Butala, Neha B. ;

Etheridge, Brandon S. ;

Siegel, Herrick J. ;

Lemons, Jack E. ;

Eberhardt, Alan W. .

JOURNAL OF BIOMECHANICAL ENGINEERING-TRANSACTIONS OF THE ASME, 2007, 129 (02) :129-136

[12] Percutaneous acetabuloplasty for metastatic acetabular lesions [J].

Maccauro, Giulio ;

Liuzza, Francesco ;

Scaramuzzo, Laura ;

Milani, Alessandro ;

Muratori, Francesco ;

Rossi, Barbara ;

Waide, Victor ;

Logroscino, Giandomenico ;

Logroscino, Carlo A. ;

Maffulli, Nicola .

BMC MUSCULOSKELETAL DISORDERS, 2008, 9 (1)

[13] Functional and oncological outcome of acetabular reconstruction for the treatment of metastatic disease [J].

Marco, RAW ;

Sheth, DS ;

Boland, PJ ;

Wunder, JS ;

Siegel, JA ;

Healey, JH .

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2000, 82A (05) :642-651

[14]

MATZKIN H, 1993, CANCER, V72, P3788, DOI 10.1002/1097-0142(19931215)72:12+<3788::AID-CNCR2820721705>3.0.CO

[15]

2-J

[16] Treatment of Metastatic Carcinoma to the Hip with CT-guided Percutaneous Acetabuloplasty: Report of Four Cases [J].

Sapkota, Bishnu H. ;

Hirsch, Ariel E. ;

Yoo, Albert J. ;

Hornicek, Francis J. ;

Raskin, Kevin A. ;

Rosenthal, Daniel I. ;

Growney, Marion L. ;

Hirsch, Joshua A. .

JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY, 2009, 20 (04) :548-552

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

Tillman, R. M. ;

Myers, G. J. C. ;

Abudu, A. T. ;

Carter, S. R. ;

Grimer, R. J. .

JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 2008, 90B (01) :84-87

[18]

WALKER RH, 1993, CLIN ORTHOP RELAT R, P170

[19] Acetabulum malignancies: technique and impact on pain of percutaneous injection of acrylic surgical cement [J].

Weill, A ;

Kobaiter, H ;

Chiras, J .

EUROPEAN RADIOLOGY, 1998, 8 (01) :123-129

[20]

Wunder JS, 2003, CLIN ORTHOP S, V415, P187

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