Reconstruction of the hemipelvis with a modular prosthesis after resection of a primary malignant peri-acetabular tumour involving the sacroiliac joint
| Autor: | Lu Xie, Jie Zang, Yang Yang, Wei Guo |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Adult
Male musculoskeletal diseases medicine.medical_specialty Adolescent medicine.medical_treatment Peri Bone Neoplasms Prosthesis Design Prosthesis Humans Medicine Orthopedics and Sports Medicine Pelvic Bones Survival rate Aged Retrospective Studies Sacroiliac joint business.industry Acetabulum Sacroiliac Joint Middle Aged Plastic Surgery Procedures Sacrum medicine.disease Ischium Surgery Survival Rate Treatment Outcome medicine.anatomical_structure Female Hip Prosthesis Sarcoma business |
| Zdroj: | The Bone & Joint Journal. :399-405 |
| ISSN: | 2049-4408 2049-4394 |
| Popis: | We report our early experience with the use of a new prosthesis, the Modular Hemipelvic Prosthesis II, for reconstruction of the hemipelvis after resection of a primary malignant peri-acetabular tumour involving the sacroiliac joint.We retrospectively reviewed the outcome of 17 patients who had undergone resection of a pelvic tumour and reconstruction with this prosthesis between July 2002 and July 2010.One patient had a type I+II+III+IV resection (ilium + peri-acetabulum + pubis/ischium + sacrum) and 16 had a type I+II+IV resection (ilium + acetabulum + sacrum). The outcome was assessed at a mean follow-up of 33 months (15 to 59). One patient was alive with disease, 11 were alive without disease and five had died of disease. The overall five-year survival rate was 62.4%. Six patients had a local recurrence. The mean Musculoskeletal Tumour Society score was 58% (33 to 77). Deep infection occurred in two patients, problems with wound healing in five and dislocation in one.For patients with a primary malignant peri-acetabular sarcoma involving the sacroiliac joint, we believe that this new prosthesis is a viable option for reconstruction of the bony defect left following resection of the tumour. It results in a satisfactory functional outcome with an acceptable rate of complications.Cite this article: Bone Joint J 2014;96-B:399–405. |
| Databáze: | OpenAIRE |
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