Publication: Reconstruction of Advanced Periacetabular Metastatic Lesions with Modified Harrington Procedure
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Date
2017-05-01
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Abstract
Objective: The purpose of this study was to assess the outcomes of patients who had been treated by
a modified Harrington procedure for advanced periacetabular metastases.
Methods: Between 2006 and 2013, 16 patients with a mean age of 57 years (range: 28–73 years) were
treated using a modified Harrington technique. Extensive (class II/III) periacetabular defects were
due to metastatic carcinoma or multiple myeloma. Surgical procedure included total hip replacement
and acetabular reconstruction using threaded pins, cemented acetabular reinforcement ring, and/or
polyethylene cup.
Results: All patients improved in regard to pain and walking ability. Mean preoperative and postoperative Musculoskeletal Tumour Society (MSTS) functional scores were 52.8% (range: 33.3–73.3%) and
72% (range: 56.6–90%), respectively (p<0.05). There were 5 (31%) early or late complications requiring additional surgery. Implant survival was 75% and 37.5% at 12 and 18 months, respectively. Mean
survival of the patients was 21 months (range: <1–6 years). Six remained alive, with a mean survival of
27 months (range: 18 months to 5 years).
Conclusion: This modified Harrington procedure can be used for reconstruction of advanced periacetabular metastatic lesions.
Keywords: Harrington procedure; periacetabular metastasis; surgical treatment.
Level of Evidence: Level IV - Case series, Therapeutic study.
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Keywords
Harrington procedure, periacetabular metastasis, surgical treatment
Citation
AYDEMİR A. N. , TOPKAR O. M. , TOKYAY A., ŞİRİN E., EROL B., \"Reconstruction of Advanced Periacetabular Metastatic Lesions with Modified Harrington Procedure\", 30th Annual Meeting of the European Musculo-Skeletal Oncology Society Program, Budapest, Macaristan, 26 - 28 Nisan 2017