Malazgirt Z, Tomak Y, Gulman B, Dervisoglu A, Selcuk O
Ondokuz Mayis University, Department of Surgery, Samsun, Turkey.
Hernia. 2001 Sep;5(3):153-5. doi: 10.1007/s100290100015.
Conventional transacetabular removal of the migrated acetabular cup can be hazardous due to intraoperative injury to iliac vessels. We present a case of a migrated acetabular cup, in which we used a combined preperitoneal and acetabular approach for its removal. With a bimanual approach, the procedure was safer and easier and allowed mesh repair of the pelvic bone defect. The preperitoneal mesh repair is a well-known method for inguinofemoral hernias. However, it has not been used before in the repair of an acetabular defect after removal of a migrated cup.
由于术中可能损伤髂血管，传统的经髋臼取出移位髋臼杯的方法具有一定危险性。我们报告一例移位髋臼杯病例，采用腹膜前联合髋臼入路取出髋臼杯。通过双手操作入路，该手术更安全、简便，且能对骨盆骨缺损进行补片修补。腹膜前补片修补是治疗腹股沟股疝的一种常用方法。然而，此前尚未用于移位髋臼杯取出后髋臼缺损的修补。
