Effectiveness of False Profile Radiographs in Detection of Pelvic Discontinuity

Wendt, Matthew C.; Adler, Michael; Trousdale, Robert T.; Mabry, Tad M.; Cabanela, Miguel E.

doi:10.1016/j.arth.2011.11.001

Cited by 10 publications

(2 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“… 11 Wendt et al, working on cadaver pelvises, showed that the so called Lequesne view, or false profile view, can clearly show the posterior column and can more reliably reveal pelvic discontinuity. 12 The false profile view is a 65° oblique radiograph, where the pelvis is examined in a supine position on a 65° block and the radiograph is taken from a straight anterior position. This radiograph has been previously used to measure the severity of developmental dysplasia of the hip.…”

Section: Diagnosis and Preoperative Evaluationmentioning

confidence: 99%

Pelvic discontinuity: a challenge to overcome

Babis

Nikolaou

2021

EFORT Open Reviews

View full text Add to dashboard Cite

Pelvic discontinuity (PD) has been a considerable challenge for the hip revision arthroplasty surgeon. However, not all PDs are the same. Some occur during primary cup insertion, resembling a fresh periprosthetic fracture that separates the superior and inferior portions of the pelvis, while others are chronic as a result of gradual acetabular bone loss due to osteolysis and/or acetabular implant loosening. In the past, ORIF, various types of cages, bone grafts and bone cement were utilized with little success. Today, the biomechanics and biology of PD as well as new diagnostic tools and especially a variety of new implants and techniques are available to hip revision surgeons. Ultraporous cups and augments, cup-cage constructs and custom triflange components have revolutionized the treatment of PD when used in various combinations with ORIF and bone grafts. For chronic PD the cup-cage construct is the most popular method of reconstruction with good medium-term results. Dislocation continues to be the leading cause of failure in all situations, followed by infection. Ultimately, surgeons today have a big enough armamentarium to select the best treatment approach. Case individualization, personal experience and improvisation are the best assets to drive treatment decisions and strategies. Cite this article: EFORT Open Rev 2021;6:459-471. DOI: 10.1302/2058-5241.6.210022

show abstract

Section: Diagnosis and Preoperative Evaluationmentioning

confidence: 99%

Pelvic discontinuity: a challenge to overcome

Babis

Nikolaou

2021

EFORT Open Reviews

View full text Add to dashboard Cite

show abstract

“…Oblique (Judet) and lateral views may be used as diagnostic tools to visualise the anterior and posterior column especially when visualisation of the acetabular columns is obscured by the radio-opaque acetabular implants. A cadaveric study (18) showed that oblique radiographs, especially false profile views were more sensitive than standard views in detecting pelvic discontinuities. False profile views achieve a more effective visualisation of the posterior column.…”

Section: Diagnosis Of Pelvic Discontinuitymentioning

confidence: 99%

Management of Pelvic Discontinuity in Revision Total Hip Arthroplasty: A Review of the Literature

et al. 2014

View full text Add to dashboard Cite

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.

show abstract