The Harrington plus reconstruction for pelvic and acetabular metastases
Background: Surgical management of periacetabular bone metastases is challenging. The Harrington Plus reconstruction is a modification of the original Harrington rod technique. An intrapelvic suprapectineal plate is used, with the aim of reconstructing a disrupted anterior column and reducing the ri...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2022-04-01
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| Series: | Journal of Bone Oncology |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2212137422000045 |
| _version_ | 1818248850990694400 |
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| author | Mukai Chimutengwende-Gordon Ross Coomber Fidel Peat Nadim Tarazi Daud Chou Andrew Carrothers |
| author_facet | Mukai Chimutengwende-Gordon Ross Coomber Fidel Peat Nadim Tarazi Daud Chou Andrew Carrothers |
| author_sort | Mukai Chimutengwende-Gordon |
| collection | DOAJ |
| description | Background: Surgical management of periacetabular bone metastases is challenging. The Harrington Plus reconstruction is a modification of the original Harrington rod technique. An intrapelvic suprapectineal plate is used, with the aim of reconstructing a disrupted anterior column and reducing the risk of failure in cases where there is extensive medial bone loss. Methods: A retrospective review of the 13 patients who have undergone the Harrington Plus procedure to date was performed. Mobility status, EQ5D and Oxford Hip scores were assessed. Results: There was a significant improvement in mobility status, EQ5D and Oxford Hip Scores at 6 months postoperatively (p < 0.05). Two patients returned to theatre for debridement of infection. There were no postoperative dislocations, cup medialisation or cases of loosening of the prosthesis. No patient required revision arthroplasty surgery. Conclusion: The Harrington Plus procedure produces a reliable construct that allows patients with extensive periacetabular metastatic defects to fully weight-bear. Careful patient selection and multidisciplinary management is essential. |
| first_indexed | 2024-12-12T15:27:10Z |
| format | Article |
| id | doaj.art-d141eccc6dc645b0861dc80f7b7355ca |
| institution | Directory Open Access Journal |
| issn | 2212-1374 |
| language | English |
| last_indexed | 2024-12-12T15:27:10Z |
| publishDate | 2022-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Bone Oncology |
| spelling | doaj.art-d141eccc6dc645b0861dc80f7b7355ca2022-12-22T00:20:14ZengElsevierJournal of Bone Oncology2212-13742022-04-0133100414The Harrington plus reconstruction for pelvic and acetabular metastasesMukai Chimutengwende-Gordon0Ross Coomber1Fidel Peat2Nadim Tarazi3Daud Chou4Andrew Carrothers5Corresponding author.; Cambridge Orthopaedic Pelvic Unit (COPU), Addenbrookes Major Trauma Centre, Cambridge University Hospitals NHS Foundation Trust, United KingdomCambridge Orthopaedic Pelvic Unit (COPU), Addenbrookes Major Trauma Centre, Cambridge University Hospitals NHS Foundation Trust, United KingdomCambridge Orthopaedic Pelvic Unit (COPU), Addenbrookes Major Trauma Centre, Cambridge University Hospitals NHS Foundation Trust, United KingdomCambridge Orthopaedic Pelvic Unit (COPU), Addenbrookes Major Trauma Centre, Cambridge University Hospitals NHS Foundation Trust, United KingdomCambridge Orthopaedic Pelvic Unit (COPU), Addenbrookes Major Trauma Centre, Cambridge University Hospitals NHS Foundation Trust, United KingdomCambridge Orthopaedic Pelvic Unit (COPU), Addenbrookes Major Trauma Centre, Cambridge University Hospitals NHS Foundation Trust, United KingdomBackground: Surgical management of periacetabular bone metastases is challenging. The Harrington Plus reconstruction is a modification of the original Harrington rod technique. An intrapelvic suprapectineal plate is used, with the aim of reconstructing a disrupted anterior column and reducing the risk of failure in cases where there is extensive medial bone loss. Methods: A retrospective review of the 13 patients who have undergone the Harrington Plus procedure to date was performed. Mobility status, EQ5D and Oxford Hip scores were assessed. Results: There was a significant improvement in mobility status, EQ5D and Oxford Hip Scores at 6 months postoperatively (p < 0.05). Two patients returned to theatre for debridement of infection. There were no postoperative dislocations, cup medialisation or cases of loosening of the prosthesis. No patient required revision arthroplasty surgery. Conclusion: The Harrington Plus procedure produces a reliable construct that allows patients with extensive periacetabular metastatic defects to fully weight-bear. Careful patient selection and multidisciplinary management is essential.http://www.sciencedirect.com/science/article/pii/S2212137422000045Pelvic and acetabular metastasesHarrington procedureSuprapectineal plate |
| spellingShingle | Mukai Chimutengwende-Gordon Ross Coomber Fidel Peat Nadim Tarazi Daud Chou Andrew Carrothers The Harrington plus reconstruction for pelvic and acetabular metastases Journal of Bone Oncology Pelvic and acetabular metastases Harrington procedure Suprapectineal plate |
| title | The Harrington plus reconstruction for pelvic and acetabular metastases |
| title_full | The Harrington plus reconstruction for pelvic and acetabular metastases |
| title_fullStr | The Harrington plus reconstruction for pelvic and acetabular metastases |
| title_full_unstemmed | The Harrington plus reconstruction for pelvic and acetabular metastases |
| title_short | The Harrington plus reconstruction for pelvic and acetabular metastases |
| title_sort | harrington plus reconstruction for pelvic and acetabular metastases |
| topic | Pelvic and acetabular metastases Harrington procedure Suprapectineal plate |
| url | http://www.sciencedirect.com/science/article/pii/S2212137422000045 |
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