Surgical Oncology
Volume 19, Issue 2 , Pages 95-105 , June 2010

Pelvic reconstruction with a combined hemipelvic prostheses after resection of primary malignant tumor

  • Zheng Guo

      Affiliations

    • Tel.: +86 029 84773411.
    • The authors have contributed equally to this paper and also co-first authors for this article.
  • ,
  • Jing Li

      Affiliations

    • Tel.: +86 029 84771064.
    • The authors have contributed equally to this paper and also co-first authors for this article.
  • ,
  • Guo-Xian Pei
  • ,
  • Xiang-Dong Li
  • ,
  • Zhen Wang

      Affiliations

    • Corresponding Author InformationCorresponding author at: Orthopaedic Department, Xijing Hospital, Changle West Road, Xi'an 710032, PR China. Tel.: +86 029 84775281, 13359265058 (mobile); fax: +86 029 84771064.

,Accepted 20 April 2009.

References 

  1. Carter SR, Eastwood DM, Grimer RJ, Sneath RS. Hindquarter amputation for tumours of the musculoskeletal system. J Bone Joint Surg Br. 1990;72:490–493
  2. Mankin HJ, Doppelt S, Tomford W. Clinical experience with allograft implantation. The first ten years. Clin Orthop Relat Res. 1983;174:69–86
  3. Mankin HJ, Hornicek FJ, Temple HT, Gebhardt MC. Malignant tumors of the pelvis: an outcome study. Clin Orthop Relat Res. 2004;425:212–217
  4. Enneking WF. Local resection of malignant lesions of the hip and pelvis. Clin Orthop Relat Res. 1966;2002(397):3–11
  5. Erikson U, Hjelmstedt A. Limb-saving radical resection of chondrosarcoma of the pelvis. J Bone Joint Surg Am. 1976;58:568–570
  6. Steel HH. Partial or complete resection of the hemipelvis. An alternative to hindquarter amputation for periacetabular chondrosarcoma of the pelvis. J Bone Joint Surg Am. 1978;60:719–730
  7. O'Connor MI, Sim FH. Salvage of the limb in the treatment of malignant pelvic tumors. J Bone Joint Surg Am. 1989;71:481–494
  8. Cottias P, Jeanrot C, Vinh TS, Tomeno B, Anract P. Complications and functional evaluation of 17 saddle prostheses for resection of periacetabular tumors. J Surg Oncol. 2001;78:90–100
  9. Gradinger R, Rechl H, Hipp E. Pelvic osteosarcoma. Resection, reconstruction, local control, and survival statistics. Clin Orthop Relat Res. 1991;270:149–158
  10. Abudu A, Grimer RJ, Cannon SR, Carter SR, Sneath RS. Reconstruction of the hemipelvis after the excision of malignant tumours. Complications and functional outcome of prostheses. J Bone Joint Surg Br. 1997;79:773–779
  11. Uchida A, Myoui A, Araki N, Yoshikawa H, Ueda T, Aoki Y. Prosthetic reconstruction for periacetabular malignant tumors. Clin Orthop Relat Res. 1996;326:238–245
  12. Satcher RL, O'Donnell RJ, Johnston JO. Reconstruction of the pelvis after resection of tumors about the acetabulum. Clin Orthop Relat Res. 2003;409:209–217
  13. Harrington KD. The use of hemipelvic allografts or autoclaved grafts for reconstruction after wide resections of malignant tumors of the pelvis. J Bone Joint Surg Am. 1992;74:331–341
  14. Bell RS, Davis AM, Wunder JS, Buconjic T, McGoveran B, Gross AE. Allograft reconstruction of the acetabulum after resection of stage-IIB sarcoma. Intermediate-term results. J Bone Joint Surg Am. 1997;79:1663–1674
  15. Langlais F, Lambotte JC, Thomazeau H. Long-term results of hemipelvis reconstruction with allografts. Clin Orthop Relat Res. 2001;388:178–186
  16. Ozaki T, Hillmann A, Bettin D, Wuisman P, Winkelmann W. High complication rates with pelvic allografts. Experience of 22 sarcoma resections. Acta Orthop Scand. 1996;67:333–338
  17. Delloye C, Banse X, Brichard B, Docquier PL, Cornu O. Pelvic reconstruction with a structural pelvic allograft after resection of a malignant bone tumor. J Bone Joint Surg Am. 2007;89:579–587
  18. Johnston JO, Gray RM. Hip reconstruction following internal hemipelvectomy for primary periacetabular sarcomas. Chir Organi Mov. 1990;75:249–252
  19. Enneking WF, Dunham WK. Resection and reconstruction for primary neoplasms involving the innominate bone. J Bone Joint Surg Am. 1978;60:731–746
  20. Enneking WF, Spanier SS, Goodman MA. A system for the surgical staging of musculoskeletal sarcoma. Clin Orthop Relat Res. 1980;153:106–120
  21. Enneking WF, Dunham W, Gebhardt MC, Malawar M, Pritchard DJ. A system for the functional evaluation of reconstructive procedures after surgical treatment of tumors of the musculoskeletal system. Clin Orthop Relat Res. 1993;286:241–246
  22. Shin KH, Rougraff BT, Simon MA. Oncologic outcomes of primary bone sarcomas of the pelvis. Clin Orthop Relat Res. 1994;304:207–217
  23. Ozaki T, Hoffmann C, Hillmann A, Gosheger G, Lindner N, Winkelmann W. Implantation of hemipelvic prosthesis after resection of sarcoma. Clin Orthop Relat Res. 2002;396:197–205
  24. Wirbel RJ, Schulte M, Maier B, Mutschler WE. Megaprosthetic replacement of the pelvis: function in 17 cases. Acta Orthop Scand. 1999;70:348–352
  25. Müller PE, Dürr HR, Wegener B, Pellengahr C, Refior HJ, Jansson V. Internal hemipelvectomy and reconstruction with a megaprosthesis. Int Orthop. 2002;26:76–79
  26. Aljassir F, Beadel GP, Turcotte RE, Griffin AM, Bell RS, Wunder JS, et al. Outcome after pelvic sarcoma resection reconstructed with saddle prosthesis. Clin Orthop Relat Res. 2005;438:36–41
  27. Apffelstaedt JP, Zhang PJ, Driscoll DL, Karakousis CP. Various types of hemipelvectomy for soft tissue sarcomas: complications, survival and prognostic factors. Surg Oncol. 1995;4:217–222
  28. Aboulafia AJ, Buch R, Mathews J, Li W, Malawer MM. Reconstruction using the saddle prosthesis following excision of primary and metastatic periacetabular tumors. Clin Orthop Relat Res. 1995;314:203–213
  29. Scully SP, Temple HT, O'Keefe RJ, Scarborough MT, Mankin HJ, Gebhardt MC. Role of surgical resection in pelvic Ewing's sarcoma. J Clin Oncol. 1995;13:2336–2341
  30. Hillmann A, Hoffmann C, Gosheger G, Rodl R, Winkelmann W, Ozaki T. Tumors of the pelvis: complications after reconstruction. Arch Orthop Trauma Surg. 2003;123:340–344
  31. Donati D, Biscaglia R. The use of antibiotic-impregnated cement in infected reconstructions after resection for bone tumours. J Bone Joint Surg Br. 1998;80:1045–1050
  32. Buchholz HW, Gartmann HD. Infection prevention and surgical management of deep insidious infection in total endoprosthesis. Chirurg. 1972;43:446–453
  33. Wahlig H, Dingeldein E, Buchholz HW, Buchholz M, Bachmann F. Pharmacokinetic study of gentamicin-loaded cement in total hip replacements. Comparative effects of varying dosage. J Bone Joint Surg Br. 1984;66:175–179
  34. Windhager R, Karner J, Kutschera HP, Polterauer P, Salzer-Kuntschik M, Kotz R. Limb salvage in periacetabular sarcomas: review of 21 consecutive cases. Clin Orthop Relat Res. 1996;331:265–276
  35. Guo W, Li D, Tang X, Yang Y, Ji T. Reconstruction with modular hemipelvic prostheses for periacetabular tumor. Clin Orthop Relat Res. 2007;461:180–188
  36. Gebert C, Hardes J, Hoffmann C, Winkelmann W, Gosheger G. Options for surgical treatment of malignant bone tumor. Der Chirurg. 2002;73(12):1162–1169
  37. Hoffmann C, Gosheger G, Gebert C, Jürgens H, Winkelmann W. Functional results and quality of life after treatment of pelvic sarcomas involving the acetabulum. J Bone Joint Surg Am. 2006;88:575–582

PII: S0960-7404(09)00057-7

doi: 10.1016/j.suronc.2009.04.003

Surgical Oncology
Volume 19, Issue 2 , Pages 95-105 , June 2010