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Stoppa Approach for Removal of the Intrapelvic Cup for Acetabular Revision

January 01, 2013

Contributors: Manuel Villanueva, MD, PhD; Jose Manuel Rojo-Manaute, MD, PhD; Maria Perez-Diaz, MD; Jose Fernandez-Marino, MD, PhD; Javier Vaquero-Martin, MD, PhD; Francisco Chana, MD, PhD; Francisco Chana, MD, PhD

Peer review has expired on this program. It is the viewer’s responsibility to determine the educational value of this historical content.
Peer review has expired on this program. It is the viewer’s responsibility to determine the educational value of this historical content.

Failure of total hip arthroplasty with perforation of the medial acetabular wall and central migration of the prosthetic components is a rare, but severe, complication. The proximity of the prosthesis to major arteries may lead to life-threatening hemorrhage and has been associated with pain and visceral complications. If a standard approach for primary arthroplasties is used to remove the component through the defect in the inner wall of the pelvis, uncontrollable bleeding or damage to the pelvic organs can occur. For that reason, several techniques for removing acetabular cups have been reported, including the unilateral approach from the femoral side, the bilateral approach, the retroperitoneal approach, and the transabdominal approach. This video describes the preoperative planning and the surgical procedure for removing severely displaced acetabular components. It also outlines the authors' recommendation of the Stoppa approach, which has the advantages of simple dissection, a low complication rate, and the prevention of possibly life threatening problems.

Results for "Revision Hip Arthroplasty"

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