Surgical management of pelvic bone sarcoma with internal hemipelvectomy: Oncologic and Functional outcomes
| Autor: | Abhijeet Ashok Salunke, Avdhoot Dhange, Mohit Sharma, Rohit K. Jha, Shashank Pandya, Amit Chakraborty, Manish Pruthi, Harshwardhan Sahijwani, Subodh Kumar Pathak, Jaymin Shah, Jyotindra Pandit, Abhishek Jain, Vikas Warikoo |
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| Rok vydání: | 2016 |
| Předmět: |
030222 orthopedics
medicine.medical_specialty business.industry medicine.medical_treatment Femoral vein Bone Sarcoma medicine.disease Surgery Radiation therapy 03 medical and health sciences Hemipelvectomy 0302 clinical medicine medicine.anatomical_structure 030220 oncology & carcinogenesis Full Length Article medicine Orthopedics and Sports Medicine Sarcoma Chondrosarcoma business Complication Pelvis |
| Zdroj: | Journal of clinical orthopaedics and trauma. 8(3) |
| ISSN: | 0976-5662 |
| Popis: | Introduction The management of pelvic sarcoma is challenging and goals of surgery are adequate oncologic local control, maintenance of optimum function with good quality of life. Methods We have evaluated the results of internal hemipelvecotmy including age, type of resection, reconstruction, radiotherapy or chemotherapy. From 2010 to 2016, 23 patients with pelvic bone tumors (13 with Ewing's sarcoma, 9 with Osteosarcoma, 1 with chondrosarcoma) were treated by surgical resection. Results The mean follow-up was 18 months (0.5–5) years. In 12 patients reconstruction was performed and 11 were without reconstruction. A total of 3 patients (13%) had an infection develop at a mean follow up of 1 month. Surgical debridement’s and antibiotics in three patients led to complete recovery. One patient had sciatic nerve injury.One patient had injury to femoral vein; was treated with femoral vein reconstruction. Two patients (9%) developed a local recurrence and were treated with best supportive treatment. Distal pulmonary metastases were seen in four patients and treated with supportive treatment. Five-year disease-specific survival rates of all patients were 83%. The mean functional MSTS score was 18(14–24). Conclusions Proper selection of patients, preopertive planning and wide surgical margins with reconstruction provides good functional outcomes following internal hemipelvectomy. The surgical site infection and flap necrosis tend to be minor complication and can be managed leading to optimal outcomes and justifies the need for this complex surgery. The oncological and functional outcome after internal hemipelvectomy suggests that it’s an effective method for treatment of patients with pelvic sarcomas. |
| Databáze: | OpenAIRE |
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