presents
Wheeless' Textbook of Orthopaedics
www.smith-nephew.com
Tracking Pixel

THR: Pelvic Discontinuity

- Discussion:
    - radiographic indications include:
          - fracture line through the anterior and posterior columns;
          - medial translation of the inferior aspect of the hemipelvis relative to the superior aspect (seen as a break in the Kohler line);
          - rotation of the inferior aspect of the hemipelvis relative to the superior aspect (seen as asymmetry of the obturator rings);
          - w/ suspected pelvic discontinuity, consider need for CT scan;
          - treatment may require insertion of posterior column reconstruction plate and a gap cup






Pelvic Discontinuity in Revision Total Hip Arthroplasty.

The Treatment of Pelvic Discontinuity with Acetabular Cages.

Acetabular revision using a trabecular metal acetabular component for severe acetabular bone loss associated with a pelvic discontinuity.

The treatment of acetabular bone defects with an associated pelvic discontinuity.

The treatment of pelvic discontinuity during acetabular revision.

Revision Total Hip Arthroplasty for Pelvic Discontinuity.















Original Text by Clifford R. Wheeless, III, MD.