Intrapelvic extension of polymethylmethacrylate (PMMA) poses a dilemma for the surgeon during revision arthroplasty. Its presence indicates that the medial wall has been compromised, either during the previous joint procedure or from trauma or osteolysis. When the medial acetabular wall has been violated the intraabdominal contents of the pelvis become at risk. These structures include the ureter, vagina, rectum, and most importantly, the iliac vessels.1 (See Part 5, Chapter 59.)
KeywordsMyocutaneous Flap Iliac Vessel Paralytic Ileus Revision Arthroplasty Retroperitoneal Approach
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- 1.Agur AM, Lee MJ. Grants Atlas of Anatomy. 9th ed, Baltimore: Williams & Wilkins, 1991.Google Scholar
- 2.McCarthy JC, Camer S. Retroperitoneal Approach to the Hip for Removal of Protruded Cement. American Academy of Orthopaedic Surgeons 60th Annual Meeting, San Francisco, CA, February 1993.Google Scholar