HSS Journal

, Volume 4, Issue 2, pp 128–137

A Review of the Treatment of Pelvic Discontinuity

  • M. Villanueva
  • A. Rios-Luna
  • J. Pereiro De Lamo
  • H. Fahandez-Saddi
  • M. P. G. Böstrom
Original Article

DOI: 10.1007/s11420-008-9075-6

Cite this article as:
Villanueva, M., Rios-Luna, A., Pereiro De Lamo, J. et al. HSS Jrnl (2008) 4: 128. doi:10.1007/s11420-008-9075-6

Abstract

Pelvic discontinuity is a complex entity with a high surgical complication rate and no standardized treatment to date. Revision hip arthroplasty in cases of massive bone loss remains a difficult and unsolved problem. The goal of the surgeon is to preserve limb function by restoring bone stock and the biomechanics of the hip. In cases of severe acetabular bone loss, biologic fixation is often inadequate, requiring extensive bone grafting and reconstructive cages. Reconstructive cages are the most commonly used devices and are designed to bridge bone defects, protect the bone graft, and reestablish the rotation center of the hip. A major limitation of current cages is that they do not allow for biologic fixation. We review the options for treating patients with massive bone loss and pelvic discontinuity and discuss therapeutic options and the clinical and radiological criteria for success.

Keywords

reconstructive cagesmassive bone lossrevision hip arthroplastypelvic discontinuity

Abbreviations

BS

Burch–Schneider cage

CC

contour cup cage

NSPD

not specified for pelvic discontinuity

Copyright information

© Hospital for Special Surgery 2008

Authors and Affiliations

  • M. Villanueva
    • 1
  • A. Rios-Luna
    • 2
    • 3
  • J. Pereiro De Lamo
    • 4
  • H. Fahandez-Saddi
    • 5
  • M. P. G. Böstrom
    • 6
  1. 1.Department of Orthopaedic Surgery and TraumatologyHospital General Universitario Gregorio MarañónMadridSpain
  2. 2.Department of Orthopaedic Surgery and TraumatologyHospital Virgen del MarAlmeríaSpain
  3. 3.Neuroscience and Health Science DepartmentUniversity of AlmeriaAlmeriaSpain
  4. 4.Department of Orthopaedic Surgery and TraumatologyHospital Clínico UniversitarioMadridSpain
  5. 5.Department of Orthopaedic Surgery and TraumatologyHospital Fundación AlcorcónMadridSpain
  6. 6.Department of Orthopaedic SurgeryHospital for Special SurgeryNew YorkUSA