Functional Outcomes and Quality of Life After Tumor-Related Hemipelvectomy

Abstract

Despite significant differences in surgical procedures, immediate and long-term functional outcomes and quality-of-life parameters were similar among participants with internal and external hemipelvectomies.

Periacetabular Reconstruction with a New Endoprosthesis

“…The surgical goals for treatment of periacetabular malignancy are primarily aimed toward wide surgical resection in the case of primary sarcomas and the elimination of pain in the case of metastatic disease; however, in both cases, surgeons seek a stable and durable reconstruction, adequate soft tissue reconstruction, preservation or improvement of function, and uneventful wound healing. Many procedures have evolved to help fulfill these goals, including external hemipelvectomy [4,5,18], resection without reconstruction (internal hemipelvectomy) [7,8,14,18,30], arthrodesis [14,18], cement and screw or pin fixation [25,29], rotationplasty [19], pure allograft reconstruction [6,10,17,18,24,27,31,32], allograft-prosthetic-composite reconstruction [17,18], and autoclaved or irradiated autograft [17,29]. None of these procedures seems superior, and each comes with its share of disadvantages-with MSTS scores ranging from 45% to 70% of normal, and major complication rates ranging from 30% to 100%.…”

CORR Insights®: LUMiC® Endoprosthetic Reconstruction After Periacetabular Tumor Resection: Short-term Results

“…Long-term functional outcomes are similar between patients who underwent external hemipelvectomy and complex limb sparing endoprosthetic reconstruction. In today's cost conscious healthcare environment, answers to such questions may become increasingly important [1,3,5].…”

Internal Hemipelvectomy for Musculoskeletal Tumors—Indications and Options for Reconstruction

“…[6][7][8][9][10][11] As a result, most authors currently advocate replacement of the resected bone using a prosthetic device or allograft, or by using other means to reconstruct the pelvic ring. 6,[12][13][14][15][16][17] Options for reconstruction include allograft,allograft-prosthetic composite, and endoprosthetic reconstruction.…”