The Harrington plus reconstruction for pelvic and acetabular metastases

被引：6

作者：

Chimutengwende-Gordon, Mukai ^{[1
]}

Coomber, Ross ^{[1
]}

Peat, Fidel ^{[1
]}

Tarazi, Nadim ^{[1
]}

Chou, Daud ^{[1
]}

Carrothers, Andrew ^{[1
]}

机构：

[1] Cambridge Univ Hosp NHS Fdn Trust, Addenbrookes Major Trauma Ctr, Cambridge Orthopaed Pelv Unit COPU, Cambridge, England

来源：

JOURNAL OF BONE ONCOLOGY | 2022年 / 33卷

关键词：

Pelvic and acetabular metastases; Harrington procedure; Suprapectineal plate; SURGICAL-TREATMENT; BONE METASTASES; EMBOLIZATION; DESTRUCTION; MANAGEMENT; SECONDARY; DISEASE;

D O I：

10.1016/j.jbo.2022.100414

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

Background: Surgical management of periacetabular bone metastases is challenging. The Harrington Plus reconstruction is a modification of the original Harrington rod technique. An intrapelvic suprapectineal plate is used, with the aim of reconstructing a disrupted anterior column and reducing the risk of failure in cases where there is extensive medial bone loss. Methods: A retrospective review of the 13 patients who have undergone the Harrington Plus procedure to date was performed. Mobility status, EQ5D and Oxford Hip scores were assessed. Results: There was a significant improvement in mobility status, EQ5D and Oxford Hip Scores at 6 months postoperatively (p < 0.05). Two patients returned to theatre for debridement of infection. There were no postoperative dislocations, cup medialisation or cases of loosening of the prosthesis. No patient required revision arthroplasty surgery. Conclusion: The Harrington Plus procedure produces a reliable construct that allows patients with extensive periacetabular metastatic defects to fully weight-bear. Careful patient selection and multidisciplinary management is essential. (C) 2022 The Author(s). Published by Elsevier GmbH.

引用

页数：7

共 28 条

[1] COMPLEX ACETABULAR RECONSTRUCTION FOR METASTATIC TURNER [J].