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Extra-Articular Resection of the Hip with a Posterior Column-Preserving Technique for Treatment of an Intra-Articular Malignant Lesion

A Report of Two Cases

¹ Department of Orthopaedics, Uniklinik Balgrist, University of Zürich, Balgrist, Forchstrasse 340, CH-8008 Zürich, Switzerland. E-mail address for G.U. Exner: guexner@wiss.balgrist.ch
² Beata Bode-Lesniewska, MD Institute of Clinical Pathology, University Hospital, Zürich, Switzerland

Investigation performed at the Department of Orthopaedics, University of Zürich, Zürich, Switzerland

The first 150 words of the full text of this article appear below.

	Introduction

 
A malignant lesion extending into the hip may necessitate en bloc resection of the joint, which may result in substantial loss of pelvic bone stock and compromise pelvic stability. Few reports have dealt specifically with the technical aspects of extra-articular resection of the hip^1-4. In this report, we present a technique that allows en bloc resection of the hip with use of a periacetabular osteotomy, reconstruction of the acetabulum with an acetabular allograft, and total hip arthroplasty through a combined ilioinguinal and iliofemoral approach.

View larger version (61K): [in this window] [in a new window]   Fig. 1 The utilitarian incision described by Enneking is used. This incision is well suited for a combination of a modified Smith-Petersen approach, representing the standard approach for the Bernese periacetabular osteotomy, and the ilioinguinal approach described by Judet et al., allowing plate application along the anterior column of the pelvis.

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