Computed Tomographic Follow-Up Evaluation of Operative Intervention for Periacetabular Lysis

Computed tomography (CT) accurately evaluates periacetabular lytic lesions. The purpose of this study is to determine the fate of osteolytic lesions after treatment with liner exchange and bone grafting. Fifteen patients who had undergone liner exchange with grafting for progressive lytic lesions, as demonstrated by preoperative CT scans, were identified. Postoperative CT scans were performed at a minimum of 2 years post revision. The largest cross sectional lytic area was compared with the postoperative scan to determine the fate of the lesion. The mean size of the measured lytic lesions preoperatively was 6.38 cm2. Postoperatively, lesions decreased to 2.94 cm2 (P = .000). Modular liner exchange with grafting is effective in treating osteolytic lesions in the pelvis, as demonstrated by CT.