Pelvic Discontinuity Caused by Acetabular Overreaming during Primary Total Hip Arthroplasty
Intraoperative acetabular fracture is a rare complication of primary total hip arthroplasty (THA), typically occurring during impaction of the cementless acetabular component. Here we report an unusual case of pelvic discontinuity caused by overreaming of the acetabulum during primary THA. Restorati...
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| Format: | Article |
| Language: | English |
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Wiley
2011-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2011/939202 |
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| author | Iori Takigami Yoshiki Ito Takashi Mizoguchi Katsuji Shimizu |
| author_facet | Iori Takigami Yoshiki Ito Takashi Mizoguchi Katsuji Shimizu |
| author_sort | Iori Takigami |
| collection | DOAJ |
| description | Intraoperative acetabular fracture is a rare complication of primary total hip arthroplasty (THA), typically occurring during impaction of the cementless acetabular component. Here we report an unusual case of pelvic discontinuity caused by overreaming of the acetabulum during primary THA. Restoration of posterior columnar continuity was achieved with an autologous fibular graft and a reconstruction plate. Wall defects and cavitary defects were reconstructed with metal mesh and femoral head allograft, followed by placement and fixation of a Kerboull-type acetabular reinforcement device. Previous reports of acetabular fracture during THA have indicated that it has a relatively good prognosis without extensive treatment. However, to our knowledge, there has been no report of pelvic discontinuity necessitating acetabular reconstruction surgery as an intraoperative complication of primary THA. |
| format | Article |
| id | doaj-art-1fe27975d6334636b1b643f0c4840ed9 |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2011-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-1fe27975d6334636b1b643f0c4840ed92025-02-03T06:14:06ZengWileyCase Reports in Orthopedics2090-67492090-67572011-01-01201110.1155/2011/939202939202Pelvic Discontinuity Caused by Acetabular Overreaming during Primary Total Hip ArthroplastyIori Takigami0Yoshiki Ito1Takashi Mizoguchi2Katsuji Shimizu3Department of Orthopaedic Surgery, Gifu University School of Medicine, 1-1 Yanagido Gifu 501-1194, JapanDepartment of Orthopaedic Surgery, Gifu University School of Medicine, 1-1 Yanagido Gifu 501-1194, JapanDepartment of Orthopaedic Surgery, Gifu Red Cross Hospital, Gifu 502-8511, JapanDepartment of Orthopaedic Surgery, Gifu University School of Medicine, 1-1 Yanagido Gifu 501-1194, JapanIntraoperative acetabular fracture is a rare complication of primary total hip arthroplasty (THA), typically occurring during impaction of the cementless acetabular component. Here we report an unusual case of pelvic discontinuity caused by overreaming of the acetabulum during primary THA. Restoration of posterior columnar continuity was achieved with an autologous fibular graft and a reconstruction plate. Wall defects and cavitary defects were reconstructed with metal mesh and femoral head allograft, followed by placement and fixation of a Kerboull-type acetabular reinforcement device. Previous reports of acetabular fracture during THA have indicated that it has a relatively good prognosis without extensive treatment. However, to our knowledge, there has been no report of pelvic discontinuity necessitating acetabular reconstruction surgery as an intraoperative complication of primary THA.http://dx.doi.org/10.1155/2011/939202 |
| spellingShingle | Iori Takigami Yoshiki Ito Takashi Mizoguchi Katsuji Shimizu Pelvic Discontinuity Caused by Acetabular Overreaming during Primary Total Hip Arthroplasty Case Reports in Orthopedics |
| title | Pelvic Discontinuity Caused by Acetabular Overreaming during Primary Total Hip Arthroplasty |
| title_full | Pelvic Discontinuity Caused by Acetabular Overreaming during Primary Total Hip Arthroplasty |
| title_fullStr | Pelvic Discontinuity Caused by Acetabular Overreaming during Primary Total Hip Arthroplasty |
| title_full_unstemmed | Pelvic Discontinuity Caused by Acetabular Overreaming during Primary Total Hip Arthroplasty |
| title_short | Pelvic Discontinuity Caused by Acetabular Overreaming during Primary Total Hip Arthroplasty |
| title_sort | pelvic discontinuity caused by acetabular overreaming during primary total hip arthroplasty |
| url | http://dx.doi.org/10.1155/2011/939202 |
| work_keys_str_mv | AT ioritakigami pelvicdiscontinuitycausedbyacetabularoverreamingduringprimarytotalhiparthroplasty AT yoshikiito pelvicdiscontinuitycausedbyacetabularoverreamingduringprimarytotalhiparthroplasty AT takashimizoguchi pelvicdiscontinuitycausedbyacetabularoverreamingduringprimarytotalhiparthroplasty AT katsujishimizu pelvicdiscontinuitycausedbyacetabularoverreamingduringprimarytotalhiparthroplasty |