Twenty-six hips were reconstructed in 25 patients with periacetabular
metastatic lesions. Twelve hip reconstructions were performed using a
modified Harrington technique with polymethyl methacrylate, cancellous
screws, and reinforcement rings (type I). Fourteen hip reconstruction
s were performed using hulk bone-graft and reinforcement rings (type I
I). According to the Musculoskeletal Tumor Society functional rating s
core, there was no appreciable difference between the two types of rec
onstructions. Either technique can give satisfactory results depending
on the anatomic location and extent of bone loss. Careful patient sel
ection is the prime determinant of a successful outcome.