Periacetabular Reconstruction Following Limb-salvage Surgery for Pelvic Sarcomas

Overview

Journal J Bone Oncol

Publisher Elsevier

Date 2021 Nov 17

PMID 34786331

Citations 9

Authors

Tomohiro Fujiwara

Koichi Ogura

Alexander Christ

Meredith Bartelstein

Shachar Kenan

Nicola Fabbri

John Healey

Affiliations

Soon will be listed here.

Abstract

Limb-salvage surgery for pelvic sarcomas remains one of the most challenging surgical procedures for musculoskeletal oncologists. In the past several decades, various surgical techniques have been developed for periacetabular reconstruction following pelvic tumor resection. These methods include endoprosthetic reconstruction, allograft or autograft reconstruction, arthrodesis, and hip transposition. Each of these procedures has its own advantages and disadvantages, and there is no consensus or gold standard for periacetabular reconstruction. Consequently, this review provides an overview of the clinical outcomes for each of these reconstructive options following pelvic tumor resections. Overall, high complication rates are associated with the use of massive implants/grafts, and deep infection is generally the most common cause of reconstruction failure. Functional outcomes decline with the occurrence of severe complications. Further efforts to avoid complications using innovative techniques, such as antibiotic-laden devices, computer navigation, custom cutting jigs, and reduced use of implants/grafts, are crucial to improve outcomes, especially in patients at a high risk of complications.

Citing Articles

Short-to-Mid-Term Outcomes of Ipsilateral Femoral Head Autograft Combined with Uncemented Total Hip Replacement for Partial Periacetabular Defects Following Tumor Resection.

Xie M, Ye Q, Gong T, Li Z, Wang Y, Lu M Orthop Surg. 2024; 16(12):2950-2959.

PMID: 39324498 PMC: 11608803. DOI: 10.1111/os.14227.

Limb Salvage and Pelvic Reconstruction With Endoprosthesis After Pelvic Tumor Resection: A Narrative Review.

Roustemis A, Liontos M, Trikoupis I, Karampikas V, Goumenos S, Gavriil P Cureus. 2024; 16(3):e56043.

PMID: 38606257 PMC: 11007484. DOI: 10.7759/cureus.56043.

[Three-dimensional-printed hemi-pelvic prosthesis for revision of aseptic loosening or screw fracture of modular hemi-pelvic prosthesis].

Liu X, Luo Y, He X, Wang J, Li Z, Zhang Y Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2023; 37(10):1183-1189.

PMID: 37848311 PMC: 10581870. DOI: 10.7507/1002-1892.202306073.

[Effectiveness analysis of resection and reconstruction of primary bone tumor in pelvic zone ].

Huang J, Cheng J, Wang T, Xu M, Han G, Jia J Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2023; 37(3):277-283.

PMID: 36940984 PMC: 10027521. DOI: 10.7507/1002-1892.202211016.

Complications and Functional Outcome Differences in Carbon Ion Radiotherapy and Surgery for Malignant Bone Tumors of the Pelvis: A Multicenter, Cohort Study.

Zhang L, Akiyama T, Saito M, Okamoto M, Gokita T, Kobayashi H Ann Surg Oncol. 2023; 30(7):4475-4484.

PMID: 36853566 DOI: 10.1245/s10434-023-13226-8.

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