Management of pelvic discontinuity in revision total hip arthroplasty: a review of the literature

• Published in: Hip international Vol. 25; no. 2; p. 120
• Main Authors: Abdelnasser, Mohammad K, Klenke, Frank M, Whitlock, Patrick, Khalil, Aly M, Khalifa, Yaser E, Ali, Hassan M, Siebenrock, Klaus A
• Format: Journal Article
• Language: English
• Published: United States 01.03.2015
• Subjects: Acetabulum - diagnostic imaging; Acetabulum - physiopathology; Acetabulum - surgery; Arthroplasty, Replacement, Hip - adverse effects; Arthroplasty, Replacement, Hip - methods; Bone Transplantation - methods; Female; Follow-Up Studies; Humans; Imaging, Three-Dimensional; Male; Osteolysis - diagnostic imaging; Osteolysis - surgery; Pain Measurement; Pelvic Bones - diagnostic imaging; Pelvic Bones - physiopathology; Prosthesis Failure; Range of Motion, Articular - physiology; Reoperation - methods; Risk Assessment; Tomography, X-Ray Computed - methods; Treatment Outcome
• ISSN: 1724-6067
• DOI: 10.5301/hipint.5000201

Pelvic discontinuity is a complex problem in revision total hip arthroplasty. Although rare, the incidence is likely to increase due to the ageing population and the increasing number of total hip arthroplasties being performed. The various surgical options available to solve this problem include plating, massive allografts, reconstruction rings, custom triflanged components and tantalum implants. However, the optimal solution remains controversial. None of the known methods completely solves the major obstacles associated with this problem, such as restoration of massive bone loss, implant failure in the short- and long-term and high complication rates. This review discusses the diagnosis, decision making, and treatment options of pelvic discontinuity in revision total hip arthroplasty.