Management of Pelvic Discontinuity in Revision Total Hip Arthroplasty: A Review of the Literature. Issue 2 (March 2015)

• Record Type: Journal Article
• Authors: Abdelnasser, Mohammad K.; Klenke, Frank M.; Whitlock, Patrick; Khalil, Aly M.; Khalifa, Yaser E.; Ali, Hassan M.; Siebenrock, Klaus A.
• Is Part Of: Hip international. Volume 25:Issue 2(2015)
• Page Start: 120
• Page End: 126
• Publication Date: 2015-03
• Subjects: Revision total hip arthroplasty -- Pelvic discontinuity -- Implants -- Complications; Hip joint -- Pathophysiology -- Periodicals; Hip joint -- Diseases -- Periodicals; Hip joint -- Surgery -- Periodicals; 617.581005
• DOI: 10.5301/hipint.5000201
• Languages: English
• ISSNs: 1120-7000

Abstract

Pelvic discontinuity is a complex problem in revision total hip arthroplasty. Although rare, the incidence is likely to increase due to the ageing population and the increasing number of total hip arthroplasties being performed. The various surgical options available to solve this problem include plating, massive allografts, reconstruction rings, custom triflanged components and tantalum implants. However, the optimal solution remains controversial. None of the known methods completely solves the major obstacles associated with this problem, such as restoration of massive bone loss, implant failure in the short- and long-term and high complication rates. This review discusses the diagnosis, decision making, and treatment options of pelvic discontinuity in revision total hip arthroplasty.