Wang J, Wang D, Du J, Lin Z. A new strategy to reconstruct type III acetabular bone defect associated with inflammatory pseudotumor: combined medial and lateral acetabular bone grafting: A case report.
Medicine (Baltimore) 2017;
96:e8777. [PMID:
29390269 PMCID:
PMC5815681 DOI:
10.1097/md.0000000000008777]
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Abstract
RATIONALE
Inflammatory pseudotumor has been commonly reported in patients undergoing total hip arthroplasty (THA).
PATIENT CONCERNS
We reported a patient who had a massive intra-pelvic pseudotumour and acetabular bone defect underwent two-stage revision THA.
DIAGNOSES
A new surgical strategy for pseudotumor after THA is performed.
INTERVENTIONS
Thorough debridement intra-pelvic pseudotumour via Smith-Petersen approach, bone grafting on iliac medial surface and plate-screw internal fixation were performed in the first stage, followed by revision of the loosened prosthesis to a cementless primary prosthesis in the second stage.
OUTCOMES
A follow-up for 5 years showed satisfactory recovery of function.
LESSONS
This surgical revision is less invasive than conventional methods, resulting in a stable and well-functioning hip joint after mid-term follow-up for 5 years.
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