Stickney William, Yoon Richard S, Patel Jay N, Klein David S, Haiduekwych George J, Liporace Frank A
1 Department of Orthopaedic Surgery, Division of Orthopaedic Trauma and Complex Adult Reconstruction, Jersey City Medical Center - RWJBarnabas Health, Jersey City, NJ, USA.
2 Department of Orthopaedic Surgery, Division of Orthopaedic Trauma & Complex Adult Reconstruction, Orlando Regional Medical Center, Orlando, FL, USA.
Hip Int. 2019 Mar;29(2):222-225. doi: 10.1177/1120700018812128. Epub 2018 Nov 13.
: In the revision setting, intrapelvic acetabular components provide a unique set of challenges for the treating surgeon. Retrieval is complicated by complex anatomical relationships within the pelvis and historically, surgeons have used multiple approaches to safely retrieve the cup.
: We present the case of a 53-year-old female with intrapelvic migration of the acetabular components of her total hip arthroplasty. Patient was treated through a novel, single incision approach with utilisation of an anterior inferior iliac spine (AIIS) osteotomy.
: An AIIS osteotomy allows for improved visualisation within the pelvis and safe retrieval through a single exposure without compromising the ability to perform definitive, revision reconstruction. At 1-year follow-up, the patient has had no complications related to infection or failure of the implants. Ambulation is performed with the aid of a cane in the community with mild, occasional pain.
在翻修手术中，盆腔内髋臼组件给主刀医生带来了一系列独特的挑战。由于骨盆内复杂的解剖关系，取出操作变得复杂，从历史上看，外科医生曾采用多种方法来安全取出髋臼杯。
我们报告一例53岁女性患者，其全髋关节置换术的髋臼组件发生盆腔内移位。患者通过一种新颖的单切口入路进行治疗，该入路采用了髂前下棘（AIIS）截骨术。
AIIS截骨术可改善盆腔内视野，并通过单次暴露安全取出，且不影响进行确定性翻修重建的能力。在1年的随访中，患者未出现与感染或植入物失败相关的并发症。患者在社区借助拐杖行走，有轻微的偶尔疼痛。
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