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Acetabular reconstruction using a ?Cone Cup? prosthesis in a series of 13 patients

Background Endoprosthetic reconstruction of major pelvic bone loss in oncology and revision arthroplasty surgery is associated with high complication rates. However, comparative data for reconstructive methods are limited. We present short-term clinical, radiological, and functional outcomes of the...

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Main Author: Klopper, Schalk
Other Authors: Hilton, Thomas
Format: Thesis
Language:English
Published: Division of General Surgery 2024
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access_status_str Open Access
author Klopper, Schalk
author2 Hilton, Thomas
author_browse Hilton, Thomas
Klopper, Schalk
author_facet Hilton, Thomas
Klopper, Schalk
author_sort Klopper, Schalk
collection Thesis
description Background Endoprosthetic reconstruction of major pelvic bone loss in oncology and revision arthroplasty surgery is associated with high complication rates. However, comparative data for reconstructive methods are limited. We present short-term clinical, radiological, and functional outcomes of the implantcast MUTARSâ LUMICâ prosthesisfor acetabular reconstruction after major pelvic bone resection orloss. Methods Retrospective folder review from December 2019 to June 2022. Minimum follow up was 12 months. The inclusion criterion was all patients who underwent acetabular reconstruction with the implantcast MUTARSâ LUMICâ cone cup prosthesis. Results Thirteen patients were included in the study. The indication for pelvic resection was a primary bone tumour in five patients, metastatic bone disease in five and failed arthroplasty in three. Complications included 2 patients with dislocation, 3 with infection, and 1 with both. The overall complication rate was 46%. Median MSTS scores at 12 months assessed in 8 patients was 20.75 of 30 points. Conclusion Our results are in agreement with other series, highlighting the problems of instability and deep infection. Patients without complications had an acceptable functional outcome.
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provenance_str_mv Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository
publishDate 2024
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spelling oai:open.uct.ac.za:11427/39763 Acetabular reconstruction using a ?Cone Cup? prosthesis in a series of 13 patients Klopper, Schalk Hilton, Thomas General Surgery Background Endoprosthetic reconstruction of major pelvic bone loss in oncology and revision arthroplasty surgery is associated with high complication rates. However, comparative data for reconstructive methods are limited. We present short-term clinical, radiological, and functional outcomes of the implantcast MUTARSâ LUMICâ prosthesisfor acetabular reconstruction after major pelvic bone resection orloss. Methods Retrospective folder review from December 2019 to June 2022. Minimum follow up was 12 months. The inclusion criterion was all patients who underwent acetabular reconstruction with the implantcast MUTARSâ LUMICâ cone cup prosthesis. Results Thirteen patients were included in the study. The indication for pelvic resection was a primary bone tumour in five patients, metastatic bone disease in five and failed arthroplasty in three. Complications included 2 patients with dislocation, 3 with infection, and 1 with both. The overall complication rate was 46%. Median MSTS scores at 12 months assessed in 8 patients was 20.75 of 30 points. Conclusion Our results are in agreement with other series, highlighting the problems of instability and deep infection. Patients without complications had an acceptable functional outcome. 2024-05-30T09:42:05Z 2024-05-30T09:42:05Z 2023 2024-05-10T12:06:24Z Thesis / Dissertation Masters MMed http://hdl.handle.net/11427/39763 eng application/pdf Division of General Surgery Faculty of Health Sciences
spellingShingle General Surgery
Klopper, Schalk
Acetabular reconstruction using a ?Cone Cup? prosthesis in a series of 13 patients
thesis_degree_str Master's
title Acetabular reconstruction using a ?Cone Cup? prosthesis in a series of 13 patients
title_full Acetabular reconstruction using a ?Cone Cup? prosthesis in a series of 13 patients
title_fullStr Acetabular reconstruction using a ?Cone Cup? prosthesis in a series of 13 patients
title_full_unstemmed Acetabular reconstruction using a ?Cone Cup? prosthesis in a series of 13 patients
title_short Acetabular reconstruction using a ?Cone Cup? prosthesis in a series of 13 patients
title_sort acetabular reconstruction using a cone cup prosthesis in a series of 13 patients
topic General Surgery
url http://hdl.handle.net/11427/39763
work_keys_str_mv AT klopperschalk acetabularreconstructionusingaconecupprosthesisinaseriesof13patients