The long-term outcomes of modified Harrington procedure using antegrade pins for periacetabular metastasis and haematological diseases. (November 2019)

• Record Type: Journal Article
• Authors: Tillman, Roger; Tsuda, Yusuke; Puthiya Veettil, Manoj; Young, Peter S.; Sree, Deepak; Fujiwara, Tomohiro; Abudu, Adesegun
• Is Part Of: Bone & joint journal. Volume 101B:Number 12(2019)
• Page Start: 1557
• Page End: 1562
• Publication Date: 2019-11
• Subjects: Modified Harrington procedure -- Metastasis and haematological diseases -- Long-term outcome; Bones -- Surgery -- Periodicals; Joints -- Surgery -- Periodicals; Orthopedic surgery -- Periodicals; 617.47005
• DOI: 10.1302/0301-620X.101B12.BJJ-2019-0265.R1
• Languages: English
• ISSNs: 2049-4394

Abstract

Abstract : Aims: The aim of this study was to present the long-term surgical outcomes, complications, implant survival, and causes of implant failure in patients treated with the modified Harrington procedure using antegrade large diameter pins. Patients and Methods: A cohort of 50 consecutive patients who underwent the modified Harrington procedure for periacetabular metastasis or haematological malignancy between January 1996 and April 2018 were studied. The median follow-up time for all survivors was 3.2 years (interquartile range 0.9 to 7.6 years). Results: The five-year overall survival rate was 33% for all the patients. However, implant survival rates were 100% and 46% at five and ten years, respectively. Eight patients survived beyond five years. There was no immediate perioperative mortality or complications. A total of 15 late complications occurred in 11 patients (22%). Five patients (10%) required further surgery to treat complications. The most frequent complication was pin breakage without evidence of acetabular loosening (6%). Two patients (4%) underwent revision for aseptic loosening at 6.5 and 8.9 years after surgery. Ambulatory status and pain level were improved in 83% and 89%, respectively. Conclusion: The modified Harrington procedure for acetabular destruction has low complication rates, good functional outcome, and improved pain relief in selected patients Cite this article: Bone Joint J 2019;101-B:1557–1562