Hip implants often fail at the point where they connect with the acetabulum (pelvic bone). To get the hip functioning again, surgeons must create a stable mechanical construct between the implant and host bone.  

Before operating it’s vital to understand exactly how the bone has been deformed, then plan an appropriate approach in response:  We use the'ladder' of reconstruction opposite as a guide to the options you have available as a surgeon in dealing with the different challenges intra-operatively:  



To show each step on the ladder of acetabular reconstruction