Volume 5, 2019
|Number of page(s)
|01 April 2019
The use of pararectus approach for Type 3B Paprosky acetabular defect with intrapelvic cup migration. Case report
Orthopedic Department, Assiut University Hospital, Assiut, Egypt
2 General Surgery Department, Assiut University Hospital, Assiut, Egypt
3 Orthopedic Department, Qena University Hospital, Qena, Egypt
* Corresponding author: firstname.lastname@example.org
Accepted: 28 February 2019
Case: A case of Type 3B Paprosky acetabular defect with intrapelvic cup migration where anterior column plating and cup extraction was done through an abdominal pararectus approach.
A male patient 63 years old reported progressive pain and walking disability after five years of cementless THR for right hip AVN.
CT pelvis showed loose intrapelvic migrated cup, extensive osteolytic acetabular defects, and pelvic discontinuity.
Pararectus approach was used to remove the cup and the head with concomitant plating of the anterior column
Conclusion: The pararectus approach is a valid option for intrapelvic cup extraction and pelvic discontinuity fixation.
Key words: Pararectus approach / Intrapelvic cup / Acetabular defect
© The Authors, published by EDP Sciences, 2019
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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