case_images: PMC6442451_01
case_images: Anteroposterior X-ray of the pelvis showing acetabular component migration medial to Kohler's line with proximal migration of the stem.
case_images: sicotj-5-11-fig1_small.jpg
case_images: PMC6442451_01_sicotj-5-11-fig1_small.jpg
case_images: F1
case_images: AP X-ray of the pelvis showed loose cup with migration, medial to Kohler's line and proximal migration of the stem (Figure 1).
case_images: CT confirmed the intrapelvic protrusion of the cup, osteolytic defects, and the dome screw which is directed posteriorly.
case_images: sicotj-5-11-fig2_small.jpg
case_images: PMC6442451_01_sicotj-5-11-fig2_small.jpg
case_images: F2
case_images: CT confirmed the intrapelvic protrusion and showed extensive osteolytic defect with suspicion of pelvic discontinuity (Figure 2).
case_images: CT angiography showed mild displacement of the vessels with no evidence of arterial aneurysm.
case_images: sicotj-5-11-fig3_small.jpg
case_images: PMC6442451_01_sicotj-5-11-fig3_small.jpg
case_images: F3
case_images: Intra-operative clinical photo of the pararectus approach showing the intra-pelvic cup before extraction.
case_images: sicotj-5-11-fig4_small.jpg
case_images: PMC6442451_01_sicotj-5-11-fig4_small.jpg
case_images: F4
case_images: The head was removed first to improve access to cup (Figure 4).
case_images: Intra-operative X-ray, the cup liner construct and the femoral head had been removed. Plating of the anterior column was done.
case_images: sicotj-5-11-fig5_small.jpg
case_images: PMC6442451_01_sicotj-5-11-fig5_small.jpg
case_images: F5
case_images: Then plating of the anterior column was done to fix the suspected pelvic discontinuity (Figure 5).
case_images: A-two year Postoperative follow up, B-immediate postoperative.
case_images: sicotj-5-11-fig6_small.jpg
case_images: PMC6442451_01_sicotj-5-11-fig6_small.jpg
case_images: F6
case_images: Then the acetabulum was reconstructed with the use of floor and rim mesh with impaction grafting followed by stem revision (Figure 6).