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

Susa, Michiro; Morioka, Hideo; Matsumine, Akihiko; Ishii, Takeshi; Hamada, Kenichiro; Ueda, Takafumi; Kawai, Akira

doi:10.1002/jso.25005

Cited by 16 publications

(24 citation statements)

References 41 publications

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“…However, pseudoatrosis during such operations was unstable and painful, and ischiofemoral or ileofemoral arthrodesis the treatment results were unsatisfactory, and also led to a significant discrepancy in the length of the limbs and difficulties with sitting and walking. According to studies on the use of allografts, good treatment results were achieved, however, complications in the form of allograft fractures and infectious complications were observed in this category of patients (Brown et al, 2018;Ogura et al, 2018). To date, the use of saddles Mark II is widely used in reconstructions after resection of the pelvic bones of type II.…”

Section: Resultsmentioning

confidence: 99%

“…To date, the use of saddles Mark II is widely used in reconstructions after resection of the pelvic bones of type II. A number of studies have shown good treatment results, while the number of various complications remains high (53%) (Ogura et al, 2018;Widana et al, 2021). Although reconstruction using allografts is one of the most common reconstruction options, a study of the results of existing studies shows that it is associated with a high frequency of complications, including fractures, the absence of bone fusion and infection (Brown et al, 2018).…”

Section: Resultsmentioning

confidence: 99%

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Oncologic outcomes of pelvic bone sarcomas surgical

Polatova

Islamov

Davletov

et al. 2021

ijhs

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Despite the development and implementation of new regimens and methods of adjuvant therapy, one of the complex problems of modern oncology is the treatment of malignant tumours of the pelvic bones, which is reflected in low survival rates and a high percentage of postoperative complications. The article provides a review of the literature on the problem of diagnosis, pathology, and preoperative planning of intraoperative navigation with the definition of the resection zone in pelvic bone sarcomas. Due to the complex anatomical structure of the pelvis, as well as the rare occurrence of pelvic bone sarcomas, a single approach to the treatment of this category of patients has not been developed. The authors conducted a deep analysis of the effectiveness of various types of reconstructive operations from 4 types of pelvic bone resections, depending on the location of the tumour.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Oncologic outcomes of pelvic bone sarcomas surgical

Polatova

Islamov

Davletov

et al. 2021

ijhs

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“…EARs of the joint are technically challenging and prone to significant complications and morbidity (4,(6)(7)(8)15). Although the technique is well known for the knee joint, fewer information exists with regard to its use in the hip joint (4,5,9).…”

Section: Discussionmentioning

confidence: 99%

“…When performed in an expert centre, EAR of the joint is associated with adequate margins and little local recurrence. EAR and wide resection of the hip joint have been reported in few series (4,5,9). without a significant difference in outcomes between resections of PMBTs located in the pelvis and proximal femur.…”

Section: Introductionmentioning

confidence: 98%

“…without a significant difference in outcomes between resections of PMBTs located in the pelvis and proximal femur. Deep infection, mechanical failure and local recurrences seem to be the main reasons for revision and reoperation following this surgically demanding procedure (4,5,9). Given the limited information available on this difficult technique, we decided to report our experience to provide information on the technical aspects and expected results of such a procedure.…”

Section: Introductionmentioning

confidence: 99%

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Proximal Femur Versus Acetabular Extra-articular Resection of the Hip Joint for Primary Malignant Bone Tumors : A Retrospective Comparative Review of 33 Cases

Housset

Anract

Babinet

et al. 2021

Preprint

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Introduction Extra-articular resection (EAR) of the hip joint is prone to significant complications and morbidity. Thus, this study evaluates the cumulative incidences and main reasons of reoperation following EAR of primary bone tumors of the hip to determine whether the outcomes are different between EAR of the pelvis and that of the proximal femur. Patients and methods Thirty-three patients presented with a PMBT of the proximal femur or pelvis were included in this study. Among all PMBTs, 58% originated from the pelvis and 42% were from the proximal femur. Twenty patients had chondrosarcomas (61%), 10 had osteosarcomas (30%), and 3 had sarcomas of another histological subtype (9%). Results The mean follow-up was of 76 months (range: 24–220 months). The cumulative probabilities of revision for any reason was 52% (95% confidence interval [CI]: 30%–70%) five years after surgery. The five-year cumulative probabilities of revision were 13% (95% CI: 4%–27%), 24% (95% CI: 10%–42%) and 34% (95% CI: 14%–56%) for mechanical, infectious and tumoral reasons, respectively. The five-year cumulative probabilities of revision for any reason were 78% (95% CI: 37%–94%) and 14% (95% CI: 2%–38%) for the pelvis and proximal femur, respectively ( p = 0.004). Posterior column preservation was significantly associated with more mechanical complications even after adjusting for the resection site ( p = 0.043). Conclusion Half of patients undergoing EAR of the hip joint for PMBT of the proximal femur or acetabulum will require another operation. EAR of the pelvis is associated with significantly worse outcome than EAR of the proximal femur.

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Periacetabular reconstruction following limb-salvage surgery for pelvic sarcomas

Fujiwara

Christ

Bartelstein

et al. 2021

Journal of Bone Oncology

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Highlights There is no standard procedure for periacetabular reconstruction following pelvic resections. High complication rates are associated with the use of massive implants/grafts. Deep infection is generally the most common cause for reconstruction failure. Functional outcomes decline with the occurrence of severe complications. Further efforts to avoid complications are crucial for improving outcomes.

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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)

Cited by 16 publications

References 41 publications

Oncologic outcomes of pelvic bone sarcomas surgical

Oncologic outcomes of pelvic bone sarcomas surgical

Proximal Femur Versus Acetabular Extra-articular Resection of the Hip Joint for Primary Malignant Bone Tumors : A Retrospective Comparative Review of 33 Cases

Periacetabular reconstruction following limb-salvage surgery for pelvic sarcomas

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