Modular hemipelvic endoprosthesis reconstruction–Experience in 100 patients with mid-term follow-up results

Ji, Tao; W, Guo; Yang, Rongli; Tang, Xiaodong; Wang, Y.F.

doi:10.1016/j.ejso.2012.10.002

Cited by 80 publications

(92 citation statements)

References 30 publications

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“…Deep infection rates range from 0 to 25% and may cause implant removal, amputation, and even death [9, 12–17]. In the current study, one patient (10%) had deep infection 4 months postoperatively, during the period of adjuvant chemotherapy.…”

Section: Discussionmentioning

confidence: 58%

“…However, the procedure should be limited to patients with solitary metastatic lesion from tumours which have good survival expectancy, such as thyroid, prostate, or breast carcinoma [15, 17, 33]. Nevertheless, some authors do not recommend reconstructing with allograft and recycled tumour-bearing bone for metastatic lesions because of the long rehabilitation period [15].…”

Section: Discussionmentioning

confidence: 99%

“…The other patient had a superficial infection which was treated with debridement. Extensive resection, large wound cavity, hematoma, adjuvant chemotherapy, the long duration of surgery, large amounts of blood loss, and the lack of soft tissue coverage are considered reasons for the high infection rate [17, 36–39]. We resected the protruding part of the iliac wing to reduce the tension of the soft tissue and provide better soft tissue coverage as postulated by Langlais et al [19] and Guo et al [13].…”

Section: Discussionmentioning

confidence: 99%

“…Muscle flap is recommended for better soft tissue coverage if necessary [14]. Sufficient drainage helps reduce the infection rate by preventing hematoma [17]. We kept the drainage tube in situ, until the output was <50 ml per day.…”

Section: Discussionmentioning

confidence: 99%

“…The methods for the reconstruction of the periacetabular region include (1) arthrodesis [3, 4]; (2) pseudarthrosis [3, 5, 6]; (3) cement reinforced by rods or pins [7, 8]; (4) hemipelvic prosthesis replacement [9–17]; (5) allograft implantation [18–20]; and (6) autograft implantation [8, 18, 21–23]. …”

Section: Introductionmentioning

confidence: 99%

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Pasteurized autograft reconstruction after resection of periacetabular malignant bone tumours

Guo

Shuai

et al. 2017

World J Surg Onc

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BackgroundThe treatment of periacetabular malignant bone tumours is challenging. Many methods of reconstruction after internal hemipelvectomy have been reported and each method has its own limitations. The aim of this study was to evaluate the oncological and functional outcomes of pasteurized autograft reconstruction after resection of periacetabular malignant bone tumours.MethodsTen patients (six male, four female) with periacetabular malignant tumours, who underwent resection and reconstruction with pasteurized autograft, were retrospectively reviewed. The patients’ average age at diagnosis was 40 years (range 13–65 years). There were five patients with chondrosarcoma, three with osteosarcoma, one with Ewing’s sarcoma, and one with solitary metastatic thyroid carcinoma.ResultsAt the last follow-up, seven patients were alive (six with no evidence of the primary disease and one with lung metastasis for 5 months). The three other patients died of metastasis of the primary disease with a mean survival time of 12 (range 8–17) months postoperatively. The mean follow-up time for all patients was 45 (range 8–87) months. Local recurrence rate was 10%. The mean time of bone union was 12 (range 6–21) months after the operation. The mean Musculoskeletal Tumor Society score for all living patients at the last follow-up was 70.5% (range 43.3–86.7%).ConclusionsReconstruction with pasteurized autograft is a feasible method for treating periacetabular malignant bone tumours, with satisfactory oncological and functional outcomes and a relatively low incidence of complications.

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Section: Discussionmentioning

confidence: 58%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Pasteurized autograft reconstruction after resection of periacetabular malignant bone tumours

Guo

Shuai

et al. 2017

World J Surg Onc

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Reconstruction using a constrained‐type hip tumor prosthesis after resection of malignant periacetabular tumors: A study by the Japanese Musculoskeletal Oncology Group (JMOG)

Susa

Morioka

Matsumine

et al. 2018

Journal of Surgical Oncology

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Three‐dimensional printing‐based personalized limb salvage and reconstruction treatment of pelvic tumors

Xie

Luo

et al. 2021

Journal of Surgical Oncology

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Background and Objectives: The treatment of pelvic tumors is widely recognized to be challenging. The purpose of this study was to evaluate the efficacy of personalized three-dimensional (3D) printing-based limb salvage and reconstruction treatment for pelvic tumors. Methods: Twenty-eight pelvic tumor patients were enrolled. 3D printing lesion models and osteotomy templates were prepared for surgery planning, prosthesis design, and osteotomy assistance during surgery. 3D printing-based personalized pelvic prostheses were manufactured and used in all 28 patients. Follow-up of postoperative survival, prosthesis survival, imaging examinations, and Musculoskeletal Tumor Society (MSTS) lower limb functional scores were carried out. Results:The mean follow-up period was 32.2 months, during which 16 patients had disease-free survival, 3 survived with the disease, and 9 died. The prostheses were stable, and the mean offset of the center of rotation was 5.48 mm. The prosthesisbone interface showed good integration. For the 19 surviving patients, the mean MSTS lower limb functional score was 23.2. Postoperative complications included superficial infection in six patients and hip dislocation in three patients.Conclusions: Personalized 3D printing-based limb salvage and reconstruction was an effective treatment for pelvic tumors. Our patients achieved good early postoperative efficacy and functional recovery.

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Modular hemipelvic endoprosthesis reconstruction–Experience in 100 patients with mid-term follow-up results

Cited by 80 publications

References 30 publications

Pasteurized autograft reconstruction after resection of periacetabular malignant bone tumours

Pasteurized autograft reconstruction after resection of periacetabular malignant bone tumours

Reconstruction using a constrained‐type hip tumor prosthesis after resection of malignant periacetabular tumors: A study by the Japanese Musculoskeletal Oncology Group (JMOG)

Three‐dimensional printing‐based personalized limb salvage and reconstruction treatment of pelvic tumors

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