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Journal of Bone and Joint Surgery - British Volume, Vol 74-B, Issue 1, 74-77
Copyright © 1992 by British Editorial Society of Bone and Joint Surgery

Articles

Pelvic underpinning: eight years' experience

PA Butler-Manuel, SE James, and JA Shepperd

Hastings Orthopaedic Centre, Royal East Sussex Hospital, England.

A new method to reconstruct major acetabular floor defects is described. It relies on the placement of special nails into each of the three bones of the hemipelvis. Curved lugs attached to the nails are coalesced using bone cement forming a platform onto which a standard acetabular prosthesis is located. Forty-seven cases are reported with a mean follow-up of 4.4 years (1 to 8). No loosening of an acetabular cup or migration of the device has occurred.


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