Functional and Oncological Outcome of Acetabular Reconstruction for the Treatment of Metastatic Disease* by Rex A. W. Marco, Dhiren S. Sheth, Patrick J.

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Presentation transcript:

Functional and Oncological Outcome of Acetabular Reconstruction for the Treatment of Metastatic Disease* by Rex A. W. Marco, Dhiren S. Sheth, Patrick J. Boland, Jay S. Wunder, Jeffrey A. Siegel, and John H. Healey J Bone Joint Surg Am Volume 82(5): May 1, 2000 ©2000 by The Journal of Bone and Joint Surgery, Inc.

Diagram demonstrating the triangulation guide used to place pelvic-acetabular pins and screws accurately and safely in an antegrade fashion. Rex A. W. Marco et al. J Bone Joint Surg Am 2000;82:642 ©2000 by The Journal of Bone and Joint Surgery, Inc.

Figs. 2-A, 2-B, and 2-C: A patient who had a metastatic lesion involving the right acetabulum.Fig. 2-A: Pelvic radiograph demonstrating the metastatic lesion with a pathological fracture of the medial acetabular wall (large arrow). Rex A. W. Marco et al. J Bone Joint Surg Am 2000;82:642 ©2000 by The Journal of Bone and Joint Surgery, Inc.

Computerized tomography scan showing involvement of the posterior and anterior columns by the metastatic lesion. Rex A. W. Marco et al. J Bone Joint Surg Am 2000;82:642 ©2000 by The Journal of Bone and Joint Surgery, Inc.

Radiograph showing the acetabular reconstruction with 170-millimeter cannulated screws to reinforce the columns. Rex A. W. Marco et al. J Bone Joint Surg Am 2000;82:642 ©2000 by The Journal of Bone and Joint Surgery, Inc.

Kaplan-Meier survivorship curves, including 95 percent confidence intervals, for patients who had metastatic disease, with and without visceral metastases. Rex A. W. Marco et al. J Bone Joint Surg Am 2000;82:642 ©2000 by The Journal of Bone and Joint Surgery, Inc.

Kaplan-Meier survivorship curves, including 95 percent confidence intervals, for patients with metastatic breast carcinoma and for patients with any other type of metastatic carcinoma. Rex A. W. Marco et al. J Bone Joint Surg Am 2000;82:642 ©2000 by The Journal of Bone and Joint Surgery, Inc.

Figs. 5-A, 5-B, and 5-C: A patient who had prostate cancer that metastasized to involve the anterior column, medial wall, and superior dome of the right acetabulum.Fig. 5-A: Preoperative radiograph demonstrating the large lytic lesion involving the acetabul... Rex A. W. Marco et al. J Bone Joint Surg Am 2000;82:642 ©2000 by The Journal of Bone and Joint Surgery, Inc.

Fig. 5-B: Postoperative radiograph illustrating the reconstruction with antegrade pin reinforcement of the acetabular dome and a cemented protrusio cup. Rex A. W. Marco et al. J Bone Joint Surg Am 2000;82:642 ©2000 by The Journal of Bone and Joint Surgery, Inc.

Follow-up radiograph showing local progression of the disease, between eight and nine months postoperatively, causing progression of the pelvic osteolysis. Rex A. W. Marco et al. J Bone Joint Surg Am 2000;82:642 ©2000 by The Journal of Bone and Joint Surgery, Inc.