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10.3390/jcm14030922
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This is an early access version, the complete PDF, HTML, and XML versions will be available soon.
Article

Acetabular Home Run Screw Guidance for Transiliac Fixation in Cup Revision Arthroplasty

by
Martin Wessling
1,2,
Carsten Gebert
1,3,
Mohamed Marei
1,*,
Marcel Dudda
2,4,
Arne Streitbuerger
2,5,
Mirko Aach
6,7,
Lee Jeys
8,9,
Sven Frieler
1,6,
Daniela Koller
10 and
Yannik Hanusrichter
1,2
1
Department of Tumor Orthopedics and Revision Arthroplasty, Orthopedic Hospital Volmarstein, 58300 Wetter, Germany
2
Center for Musculoskeletal Surgery, University Hospital of Essen, 45147 Essen, Germany
3
Department of Orthopedics and Tumor Orthopedics, Muenster University Hospital, 48149 Muenster, Germany
4
Department of Trauma Surgery, University Hospital Essen, 45147 Essen, Germany
5
Department of Orthopedic Oncology, University Hospital Essen, 45147 Essen, Germany
6
Department of Trauma and Orthopedic Surgery, BG University Hospital Bergmannsheil, Ruhr-University Bochum (RUB), 44801 Bochum, Germany
7
Spinal Cord Injury Unit, Department of General and Trauma Surgery, BG University Hospital Bergmannsheil, Ruhr-University Bochum, 44879 Bochum, Germany
8
Oncology Department, The Royal Orthopedic Hospital, Birmingham B31 2AP, UK
9
Faculty of Health Sciences, Aston University, Birmingham B4 7ET, UK
10
Institute of Medical Information Processing, Biometry, and Epidemiology, Faculty of Medicine, LMU Munich, 80539 Munich, Germany
*
Author to whom correspondence should be addressed.
J. Clin. Med. 2025, 14(3), 922; https://doi.org/10.3390/jcm14030922
Submission received: 16 December 2024 / Revised: 5 January 2025 / Accepted: 19 January 2025 / Published: 30 January 2025
(This article belongs to the Special Issue Arthroplasty: Advances in Surgical Techniques and Patient Outcomes)
Versions Notes

Abstract

Background/Objectives: The growing incidence of acetabular revisions has highlighted the importance of achieving reliable fixation to the remaining bone. Proximal transiliac fixation (TIF) of pelvic implants is becoming an increasingly common approach for managing extensive bone defects. This study seeks to provide guidance on TIF implantation by analyzing the optimal screw placement in partial pelvic replacements for acetabular defects. Methods: Between 2014 and 2024, a cohort of 96 consecutive patients (65 females and 31 males) who underwent customized partial pelvic replacement (PPR) with transiliac fixation (TIF) were examined. The angle and entry point of the ideal TIF were determined using preoperative three-dimensional planning and compared with potential influencing factors. Results: All PPRs were successfully implanted, with an average TIF length of 77 mm. The mean anteroposterior angle for TIF was 18° medially and 27° dorsally. Conclusions: Analysis of the entry point showed concentration around the second radius and between the eleven o’clock and one o’clock positions. The AP angle is notably affected by gender and height. Considering the precision of human judgment, a recommendation for TIF placement would be 20° medial and 30° dorsal deviation, with the entry point around the twelve o’clock position and the second ring from the center of the cup.
Keywords: hip arthroplasty; revision arthroplasty; home run screw; transiliac fixation; screw angle hip arthroplasty; revision arthroplasty; home run screw; transiliac fixation; screw angle

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MDPI and ACS Style

Wessling, M.; Gebert, C.; Marei, M.; Dudda, M.; Streitbuerger, A.; Aach, M.; Jeys, L.; Frieler, S.; Koller, D.; Hanusrichter, Y. Acetabular Home Run Screw Guidance for Transiliac Fixation in Cup Revision Arthroplasty. J. Clin. Med. 2025, 14, 922. https://doi.org/10.3390/jcm14030922

AMA Style

Wessling M, Gebert C, Marei M, Dudda M, Streitbuerger A, Aach M, Jeys L, Frieler S, Koller D, Hanusrichter Y. Acetabular Home Run Screw Guidance for Transiliac Fixation in Cup Revision Arthroplasty. Journal of Clinical Medicine. 2025; 14(3):922. https://doi.org/10.3390/jcm14030922

Chicago/Turabian Style

Wessling, Martin, Carsten Gebert, Mohamed Marei, Marcel Dudda, Arne Streitbuerger, Mirko Aach, Lee Jeys, Sven Frieler, Daniela Koller, and Yannik Hanusrichter. 2025. "Acetabular Home Run Screw Guidance for Transiliac Fixation in Cup Revision Arthroplasty" Journal of Clinical Medicine 14, no. 3: 922. https://doi.org/10.3390/jcm14030922

APA Style

Wessling, M., Gebert, C., Marei, M., Dudda, M., Streitbuerger, A., Aach, M., Jeys, L., Frieler, S., Koller, D., & Hanusrichter, Y. (2025). Acetabular Home Run Screw Guidance for Transiliac Fixation in Cup Revision Arthroplasty. Journal of Clinical Medicine, 14(3), 922. https://doi.org/10.3390/jcm14030922

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