case_images: PMC11823881_01
case_images: (a and b) computed tomography chest abdomen pelvis with contrast axial and coronal cuts, respectively. Evidence of soft tissue mass associated with pathologic fracture in the lateral right superior ramus involving the medial acetabulum, visualized in both the axial and coronal cuts.
case_images: JOCR-15-16-g001.jpg
case_images: PMC11823881_01_JOCR-15-16-g001.jpg
case_images: F1
case_images: Computed tomography chest, abdomen, and pelvis at that time revealed a new lesion in the lateral superior ramus involving the medial acetabulum (Fig. 1).
case_images: Intraoperative fluoroscopic images of guidewire placement for anterior column screw.
case_images: JOCR-15-16-g002.jpg
case_images: PMC11823881_01_JOCR-15-16-g002.jpg
case_images: F2
case_images: We used the three primary fluoroscopic views (AP of the pelvis, obturator inlet, and outlet views) to place a guidewire along with the opening reamer at the start point for an antegrade anterior column screw (Fig. 2).
case_images: Intraoperative fluoroscopic images of successful guidewire placement for anterior column screw.
case_images: JOCR-15-16-g003.jpg
case_images: PMC11823881_01_JOCR-15-16-g003.jpg
case_images: F3
case_images: The guidewire was placed down along the anterior column across the tumor site along the superior pubic ramus and pubic root (Fig. 3).
case_images: Intraoperative fluoroscopic images of Curvafix placement for anterior column screw.
case_images: JOCR-15-16-g004.jpg
case_images: PMC11823881_01_JOCR-15-16-g004.jpg
case_images: F4
case_images: A 7.5 mm x 110 mm Curvafix screw was then placed in standard fashion and deployed, thus locking the cables into place (Fig. 4 and 5).
case_images: Intraoperative fluoroscopic images of successful Curvafix nail placement of anterior column.
case_images: JOCR-15-16-g005.jpg
case_images: PMC11823881_01_JOCR-15-16-g005.jpg
case_images: F5
case_images: A 7.5 mm x 110 mm Curvafix screw was then placed in standard fashion and deployed, thus locking the cables into place (Fig. 4 and 5).
case_images: Immediate post-operative X-ray of the right hip showing evidence of proper alignment and retention of total hip arthroplasty and Curvafix nail.
case_images: JOCR-15-16-g006.jpg
case_images: PMC11823881_01_JOCR-15-16-g006.jpg
case_images: F6
case_images: There was minimal exposure of the nail, so we opted for press fit over cement (Fig. 6).
case_images: Five month post-operative X-ray of the right hip with intact implants and no evidence of loosening or failure.
case_images: JOCR-15-16-g007.jpg
case_images: PMC11823881_01_JOCR-15-16-g007.jpg
case_images: F7
case_images: She most recently followed up at 5 months post-operative in which repeat X-ray of the hip showed intact implants without evidence of loosening or failure (Fig. 7).