©Author(s) (or their employer(s)) 2026. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.
World J Clin Cases. Mar 6, 2026; 14(7): 117757
Published online Mar 6, 2026. doi: 10.12998/wjcc.v14.i7.117757
Published online Mar 6, 2026. doi: 10.12998/wjcc.v14.i7.117757
Extra-acetabular resection of a protruding transacetabular screw after total hip arthroplasty for developmental dysplasia: A case report
Vasileios Davitis, Department of Orthopaedics II, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, Thessaloniki 54635, Kentrikí Makedonía, Greece
Byron Chalidis, Department of Orthopaedics Ι, Aristotle University of Thessaloniki, “George Papanikolaou” Hospital, Thessaloniki 57010, Kentrikí Makedonía, Greece
Co-first authors: Vasileios Davitis and Byron Chalidis.
Author contributions: Davitis V wrote the manuscript, acquired the clinical data, and prepared the first draft of the manuscript; Davitis V and Chalidis B contributed to manuscript writing and editing, data collection, critically analyzed the manuscript, preparation of figures, and they contributed equally to this manuscript and are co-first authors; Chalidis B contributed to conceptualization and supervision. All authors have read and approved the final manuscript.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Corresponding author: Byron Chalidis, MD, PhD, Assistant Professor, Department of Orthopaedics Ι, Aristotle University of Thessaloniki, “George Papanikolaou” Hospital, Papanikolaou Avenue, Thessaloniki 57010, Kentrikí Makedonía, Greece.
Received: December 16, 2025
Revised: January 25, 2026
Accepted: February 10, 2026
Published online: March 6, 2026
Processing time: 80 Days and 9.8 Hours
Revised: January 25, 2026
Accepted: February 10, 2026
Published online: March 6, 2026
Processing time: 80 Days and 9.8 Hours
Core Tip
Core Tip: Total hip arthroplasty in developmental dysplasia of the hip carries the risk of transacetabular screw protrusion and neurologic injury. In case of sciatic nerve palsy due to intrapelvic screw penetration, an extra-acetabular approach with exploration of the sciatic nerve and resection of the prominent screw tip can allow immediate pain relief without com