Modified Harrington Procedure for Acetabular Insuficiency Due to Metastatic Malignant Disease

Modified Harrington Procedure for Acetabular Insuficiency Due to Metastatic Malignant Disease

Extensive peri-acetabular osteolysis caused by malignant disease process is a major surgical challenge as conventional hip arthroplasty is not adequate. We describe a modified use of the Harrington procedure for acetabular insufficiency secondary to metastatic disease in twelve patients. The procedures include application of multiple threaded pins to bridge the acetabular columns, anti-protrusi...

Reconstruction of metastatic acetabular defects using a modified Harrington procedure.

BACKGROUND AND PURPOSE Metastases engaging the acetabulum result in significant disability. We investigated the outcome after curettage and reconstruction of the defect with a protrusio cage, retrograde screws, and a cemented total hip arthroplasty. PATIENTS AND METHODS We retrospectively identified 70 consecutive patients who were surgically treated for metastatic disease of the acetabulum b...

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

Pathological fractures due to metastasis with destruction of the acetabulum and central dislocation of the hip present a difficult surgical challenge. We describe a series using a single technique in which a stable and long-lasting reconstruction was obtained using standard primary hip replacement implants augmented by strong, fully-threaded steel rods with cement and steel mesh, where required...

Fulminant hepatic failure due to metastatic choroidal melanoma

Percutaneous acetabuloplasty for metastatic acetabular lesions

BACKGROUND Osteolytic metastases around the acetabulum are frequent in tumour patients, and may cause intense and drug-resistant pain of the hip. These lesions also cause structural weakening of the pelvis, limping, and poor quality of life. Percutaneous acetabuloplasty is a mini-invasive procedure for the management of metastatic lesions due to carcinoma of the acetabulum performed in patients...