Modified Harrington reconstruction for advanced periacetabular metastatic disease

Background/Objectives Destructive metastatic lesions about the acetabulum result in pain and functional limitations. We assessed whether periacetabular reconstruction (PAR) improves quality of life by examining outcome measures of pain, function, and mobility. Methods Thirty‐seven patients with a me...

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Bibliographic Details
Published in:Journal of surgical oncology 2010-02, Vol.101 (2), p.170-174
Main Authors: Ho, Lance, Ahlmann, Elke R., Menendez, Lawrence R.
Format: Article
Language:English
Subjects:
Acetabulum - surgery
Adult
Aged
Aged, 80 and over
Bone Neoplasms - pathology
Bone Neoplasms - secondary
Bone Neoplasms - surgery
Female
Humans
Male
metastasis
Middle Aged
Neoplasm Invasiveness
periacetabulum
Quality of Life
reconstruction
Reconstructive Surgical Procedures
Retrospective Studies
Treatment Outcome
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Summary:Background/Objectives Destructive metastatic lesions about the acetabulum result in pain and functional limitations. We assessed whether periacetabular reconstruction (PAR) improves quality of life by examining outcome measures of pain, function, and mobility. Methods Thirty‐seven patients with a mean follow‐up of 23.6 months (range, 0.5–112 months) were retrospectively reviewed. All patients underwent modified Harrington reconstruction with periacetabular screws, cement, and total hip arthroplasty. Results The mean preoperative MSTS score of 14 (47%, 14/30) improved to 20 (67%, 20/30) after the procedure. Thirty‐five patients who were alive 1 month after the procedure were reviewed for outcome. Postoperatively, patients reported a significant improvement in pain (P 
ISSN:0022-4790
1096-9098
DOI:10.1002/jso.21440