Surgical treatment of peri-acetabular metastatic disease: Retrospective, multicentre study of 91 THA cases

Lavignac, Pierre; Prieur, J; Fabre, Thierry; Descamps, Jules; Niglis, Lucas; Carlier, C; Bouthors, Charlie; Baron-Trocellier, Thomas; Sailhan, Frédéric; Bonnevialle, P.

doi:10.1016/j.otsr.2020.03.032

Cited by 15 publications

(12 citation statements)

References 54 publications

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“…The full texts of the remaining 86 articles were examined. Finally, according to the eligibility criteria, 56 articles were included in the systematic review [ 12 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 , 66 , 67 , 68 ] ( Figure 1…”

Section: Resultsmentioning

confidence: 99%

“…Another well-recognized use of C-DMC is in cases of pathological fractures. Lavignac et al [ 58 ] used DMC in the treatment of peri-acetabular metastasis, but although the rate of complications and revisions is low, the mean patient survivorship was 19.5 months due to the progression of the primary disease. Similarly, Wegrzyn et al [ 46 ], in a continuous series of 131 cases of periacetabular metastatic disease treated using a DMC cemented into an acetabular reinforcement device, observed an improvement in the postoperative functional outcome and pain relief, no mechanical failure or aseptic loosening of the acetabular reconstruction and a dislocation rate of 2%.…”

Section: Discussionmentioning

confidence: 99%

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Is Cemented Dual-Mobility Cup a Reliable Option in Primary and Revision Total Hip Arthroplasty: A Systematic Review

Ciolli

Mesnard

Deroche

et al. 2022

JPM

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Background: Instability is a common complication following total hip arthroplasty (THA). The dual mobility cup (DMC) allows a reduction in the dislocation rate. The goal of this systematic review was to clarify the different uses and outcomes according to the indications of the cemented DMC (C-DMC). Methods: A systematic review was performed using the keywords “Cemented Dual Mobility Cup” or “Cemented Tripolar Cup” without a publication year limit. Of the 465 studies identified, only 56 were eligible for the study. Results: The overall number of C-DMC was 3452 in 3426 patients. The mean follow-up was 45.9 months (range 12–98.4). In most of the cases (74.5%) C-DMC was used in a revision setting. In 57.5% DMC was cemented directly into the bone, in 39.6% into an acetabular reinforcement and in 3.2% into a pre-existing cup. The overall dislocation rate was 2.9%. The most frequent postoperative complications were periprosthetic infections (2%); aseptic loosening (1.1%) and mechanical failure (0.5%). The overall revision rate was 4.4%. The average survival rate of C-DMC at the last follow-up was 93.5%. Conclusions: C-DMC represents an effective treatment option to limit the risk of dislocations and complications for both primary and revision surgery. C-DMC has good clinical outcomes and a low complication rate.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Is Cemented Dual-Mobility Cup a Reliable Option in Primary and Revision Total Hip Arthroplasty: A Systematic Review

Ciolli

Mesnard

Deroche

et al. 2022

JPM

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show abstract

“…Furthermore, our findings demonstrate comparable rates of complications with the literature. Previous studies on acetabular reconstruction in the setting of metastatic disease have reported 0%–29% failure rates, 0%–24% dislocations rates, and 0%–9% implant loosening rates 2,6,7,9–17 . Lower rates of dislocation are likely attributed to greater use of constrained or dual mobility constructs.…”

Section: Discussionmentioning

confidence: 96%

“…Due to a lack of a uniform algorithm for the surgical management of large metastatic lesions of the pelvis, several treatment options have emerged including custom pelvic replacement, saddle prostheses, massive allograft, acetabuloplasty, total hip replacement, and resection arthroplasty 7–9 . These treatments have produced varied results in the literature, with overall failure rates ranging from 0% to 29% 2,6,7,9–17 …”

Section: Introductionmentioning

confidence: 99%

Improved functional status in patients undergoing cement and rebar reconstruction with total hip arthroplasty for uncontained metastatic tumors of the acetabulum

Mittal

Tamer

Shapton

et al. 2023

Journal of Surgical Oncology

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Background and Objective: Metastatic cancer of the acetabulum can produce marked pain and disability for patients. Several reconstruction techniques for such lesions have been described, with variable outcomes. The purpose of this study was to determine functional outcomes and complication rate for patients undergoing cement rebar reconstruction using posterior column screws with total hip arthroplasty for large, uncontained lesions of the acetabulum.Methods: Twenty-two consecutive patients who underwent cement rebar reconstruction with posterior column screws and total hip arthroplasty for metastatic tumors of the acetabulum between 2014 and 2017 were identified. All cases were reviewed for patient demographics, surgical parameters, implant survival, complications, and functional status following these procedures.Results: There was a significant increase in the proportion of patients able to ambulate post-surgery (95.5%) compared with presurgery (22.7%) (p < 0.001). Mean musculoskeletal tumor society score postoperatively was 17.9 (60%). Average operative time was 174 min and average estimated blood loss was 689 mL. Seven patients required an intraoperative or postoperative blood transfusion. Three patients had postoperative complications (14%), two of whom required revision (9%). Conclusion:Reconstruction using cement rebar with posterior column screws and total hip arthroplasty is a safe, reproducible approach that may greatly improve functional outcomes with a low rate of intraoperative or postoperative complications.

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“…It is reported that approximately 16.2% of primary bone sarcomas are located in the pelvis, e.g., pelvic chondrosarcoma, osteosarcoma, or Ewing tumor, causing a poor five-year survival rate of 45.0~57.5% [ 1 ]. The pelvic bone is also a common destination of many major metastatic cancers, such as lung and breast cancers [ 2 ]. Based on the Enneking and Dunham classification [ 3 ], pelvic tumors are generally divided into four types on the basis of the anatomic sites involved: type I involves the iliac bone; type II involves the acetabulum; type III involves the pubis and the ischium; and type IV involves the ilium to sacrum.…”

Section: Introductionmentioning

confidence: 99%

Computer-Aided Design and 3D Printing of Hemipelvic Endoprosthesis for Personalized Limb-Salvage Reconstruction after Periacetabular Tumor Resection

Chen

Cai

et al. 2022

Bioengineering

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3D-printed hemipelvic endoprosthesis is an emerging solution for personalized limb-salvage reconstruction after periacetabular tumor resection. Further clinical studies are still required to report its surgical characteristics, outcomes, benefits and drawbacks. Sixteen consecutive patients underwent periacetabular tumor wide resection and pelvic reconstruction with a 3D-printed hemipelvic endoprosthesis from 2018 to 2021. The surgical characteristics and outcomes are described. The mean follow-up duration was 14.8 months (range, 3 to 43 months). Five patients underwent surgery for type I + II resection and reconstruction, seven for type II + III resection and reconstruction, three for type II resection and reconstruction, and one for type I + II + IV resection and reconstruction. The incidence of postoperative complication was 12.5% (2/16) for deep venous thrombosis (DVT), 12.5% (2/16) for pneumonia, and 12.5% (2/16) for would deep or superficial infection. During follow-up, two patients (12.5%) suffered hip dislocation and underwent revision surgery. CT demonstrated an obvious prosthetic porous structure–bone fusion after follow-up of at least 6 months. At the final follow-up, 12 lived with no evidence of disease while four lived with disease; no patients experienced pain; and 15 had independent ambulation, with a mean Musculoskeletal Tumor Society (MSTS) score of 85.8% (range, 26.7% to 100%). 3D-printed hemipelvic endoprosthesis facilitates wide resection of periacetabular tumor and limb-salvage reconstruction, thus resulting in good oncological and functional outcomes. The custom-made nature is able to well mimic the skeletal anatomy and microstructure and promote osseointegration. Perioperative complications and rehabilitation exercise still need to be stressed for this engineering technology-assisted major orthopedic surgery.

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Surgical treatment of peri-acetabular metastatic disease: Retrospective, multicentre study of 91 THA cases

Cited by 15 publications

References 54 publications

Is Cemented Dual-Mobility Cup a Reliable Option in Primary and Revision Total Hip Arthroplasty: A Systematic Review

Is Cemented Dual-Mobility Cup a Reliable Option in Primary and Revision Total Hip Arthroplasty: A Systematic Review

Improved functional status in patients undergoing cement and rebar reconstruction with total hip arthroplasty for uncontained metastatic tumors of the acetabulum

Computer-Aided Design and 3D Printing of Hemipelvic Endoprosthesis for Personalized Limb-Salvage Reconstruction after Periacetabular Tumor Resection

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