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Computer-aided designed, three dimensional-printed hemipelvic prosthesis for peri-acetabular malignant bone tumour

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Abstract

Background

Prosthetic reconstruction may be a promising treatment for peri-acetabular malignant bone tumour; however, it is associated with a high complication rate. Therefore, prosthetic design and approach of prosthetic reconstruction after tumour resection warrant study.

Methods

We retrospectively analyzed 11 patients with peri-acetabular malignant bone tumours treated by personalized 3D-printed hemipelvic prostheses after en bloc resection between 2015 and 2016. Pre-operative and post-operative pain at rest was assessed according to a 10-cm VAS score. The results of functional improvement were evaluated using the MSTS-93 score at the final follow-up. We also analyzed tumour recurrence, metastases, and complications associated with the reconstruction procedure.

Results

All patients were observed for six to 24 months with an average follow-up of 15.5 months. One patient had occasional pain of the involved hip at the final follow-up (VAS, pre vs. post 8 months: 3 vs. 2). The mean MSTS-93 score was 19.2 (range, 13–25). Hip dislocation was detected in two patients, while delayed wound healing occurred in one patient. One patient with mesenchymal chondrosarcoma had a left iliac bone metastasis. Local tumour recurrence was not observed.

Conclusions

Reconstruction of bony defect after tumour resection using personalized 3D-printed hemipelvic prostheses can obtain acceptable functional results without severe complications. Based on previous reports and our results, we believe that reconstruction arthroplasty using 3D-printed hemipelvic prostheses will provide a promising alternative for those patients with peri-acetabular malignant bone tumours.

Level of Evidence: Level IV, therapeutic study.

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Authors and Affiliations

  1. Department of Orthopedics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1277 Jiefang Road, Wuhan, 430022, China

    Baichuan Wang, Feifei Pu & Zengwu Shao

  2. Department of Orthopedics, Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200000, China

    Yongqiang Hao

  3. Clinical and Translational Research Center for 3D Printing Technology, Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200000, China

    Wenbo Jiang

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  1. Baichuan Wang
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  2. Yongqiang Hao
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Correspondence to Baichuan Wang or Zengwu Shao.

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Wang, B., Hao, Y., Pu, F. et al. Computer-aided designed, three dimensional-printed hemipelvic prosthesis for peri-acetabular malignant bone tumour. International Orthopaedics (SICOT) 42, 687–694 (2018). https://doi.org/10.1007/s00264-017-3645-5

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  • DOI: https://doi.org/10.1007/s00264-017-3645-5

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