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Orthopédie Traumatologie

, Volume 4, Issue 1, pp 35–38 | Cite as

Les métastases cotyloïdiennes : Traitement des métastases cotyloïdiennes par autogreffe à partir de l'extrémité supérieure du fémur homolatéral

  • J. Puget
Metastases des Membres

Résumé

Les auteurs rapportent leur expérience au sujet du traitement chirurgical de l'envahissement de l'os du cotyle et de sa périphérie par des métastases tumorales. Ils utilisent une technique originale de reconstruction de l'os péri-cotyloïdien à l'aide du fémur haut ipsilatéral. La classification des lésions et les fondements biomécaniques de leur méthode de reconstruction sont exposés. La discussion établit les limites de la méthode et analyse les résultats. Le suivi de douze cas ne révèle aucun échec de la technique, ni de complications septiques ; l'appui fut autorisé très rapidement, après un délai moyen de deux semaines.

Mots-clés

Métastases cotyloïdiennes 

Reconstruction of acetabular and peri acetabular metastases with ipsilateral proximal femoral autograft

Abstract

The author reports his experience of surgical treatment of extensive metastatic involvement of the acetabulum and peri-acetabular bone. He describes an original technique of reconstruction of the peri-acetabular bone with the ipsilateral proximal femur. The classification of the lesions and biomechanical principles of the method of reconstruction are described and the surgical procedure is reported. The results and limitations of the method are discussed. The follow-up of 12 cases revealed no failures due to the technique and no infections. Early weight bearing was allowed at an average of two weeks after operation.

Key words

Acetabular metastases 

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Bibliographie

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Copyright information

© Springer-Verlag 1994

Authors and Affiliations

  • J. Puget
    • 1
  1. 1.Service d'Orthopédie TraumatologieC.H.U. Rangueil-ToulouseToulouse CedexFrance

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