ReviewEFORT open reviews2021
Pelvic discontinuity: a challenge to overcome.
Review in EFORT open reviews, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
10 citing papers in PubMed, 21 citations in OpenAlex.
- Acetabular Distraction versus Cup-Cage Construct in the Management of Chronic Pelvic Discontinuity: A Comparative Study.Hip & pelvis · 2026Article
- Acetabular Distraction and the Cup-in-Cup Technique for the Management of Pelvic Discontinuity: A Case Report.Cureus · 2025Article
- Quadrilateral surface plating combined with anti-protrusio cage for pelvic discontinuity-a preliminary clinical comparison of a novel technique.Archives of orthopaedic and trauma surgery · 2025Article
- Periprosthetic Fractures Around the Acetabulum.Indian journal of orthopaedics · 2025Article
- [Research progress in Cup-cage reconstruction for patients with chronic pelvic discontinuity after total hip arthroplasty].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2024Review
- What Are the Functional, Radiographic, and Survivorship Outcomes of a Modified Cup-cage Technique for Pelvic Discontinuity?Clinical orthopaedics and related research · 2024Article
- Individualized megaimplants in acetabular revision arthroplasty: what have we learned in the last 15 years?EFORT open reviews · 2024Review
- Custom-made acetabular revision arthroplasty for pelvic discontinuity: Can we handle the challenge? : a prospective cohort study.Bone & joint open · 2023Article
- Acetabular Peri-Prosthetic Fractures-A Narrative Review.Medicina (Kaunas, Lithuania) · 2022Review
- Clinical and radiological outcomes of jumbo cup in revision total hip arthroplasty: A systematic review.Frontiers in surgery · 2022Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Pelvic discontinuity (PD) has been a considerable challenge for the hip revision arthroplasty surgeon. However, not all PDs are the same. Some occur during primary cup insertion, resembling a fresh periprosthetic fracture that separates the superior and inferior portions of the pelvis, while others are chronic as a result of gradual acetabular bone loss due to osteolysis and/or acetabular implant loosening.In the past, ORIF, various types of cages, bone grafts and bone cement were utilized with little success. Today, the biomechanics and biology of PD as well as new diagnostic tools and especially a variety of new implants and techniques are available to hip revision surgeons. Ultraporous cups and augments, cup-cage constructs and custom triflange components have revolutionized the treatment of PD when used in various combinations with ORIF and bone grafts. For chronic PD the cup-cage construct is the most popular method of reconstruction with good medium-term results.Dislocation continues to be the leading cause of failure in all situations, followed by infection. Ultimately, surgeons today have a big enough armamentarium to select the best treatment approach. Case individualization, personal experience and improvisation are the best assets to drive treatment decisions and strategies. Cite this article:
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Registered trials
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