Cookies on this website

We use cookies to ensure that we give you the best experience on our website. If you click 'Accept all cookies' we'll assume that you are happy to receive all cookies and you won't see this message again. If you click 'Reject all non-essential cookies' only necessary cookies providing core functionality such as security, network management, and accessibility will be enabled. Click 'Find out more' for information on how to change your cookie settings.

We describe a modified surgical technique for the reconstruction of major acetabular defects using a coned acetabular component (the Stanmore 'ice-cream' cone prosthesis) and report its early clinical outcomes. A single surgeon performed 28 acetabular reconstructions using a stemmed-cone acetabular prosthesis (mean age 70.9 years; 61% female) in 15 oncology patients with periacetabular metastases and 13 patients requiring complex arthroplasty procedures. Defects were graded using the Paprosky classification (10 = 3A; 8 = 3B; 10 = pelvic discontinuity). All procedures were performed without fluoroscopy using an extended posterior hip approach. Mean operative time (including anaesthesia) was 133 minutes; there were no intraoperative complications. Postoperative complications had occurred in 14% (n = 4), at a mean follow-up of 12.5 months (range: 2-33 months). There were no failures in patients with pelvic discontinuity. The stemmed-cone acetabular prosthesis was found to provide a useful method for acetabular reconstruction (including pelvic discontinuity) in both complex oncological and hip arthroplasty cases.


Journal article


Acta orthop belg

Publication Date





680 - 688


Acetabulum, Aged, Aged, 80 and over, Arthroplasty, Replacement, Hip, Bone Neoplasms, Female, Fractures, Bone, Hip Prosthesis, Humans, Male, Middle Aged, Pelvic Bones, Prosthesis Design, Reconstructive Surgical Procedures, Reoperation, Retrospective Studies, Treatment Failure