Abstract
Surgical treatment of pelvic bone tumors remains one of the most challenging problems for the orthopedic oncologists. Reconstruction involving a total acetabular defect is a particularly rigorous task with unfavorable outcomes encountered not so uncommonly. Biological reconstruction in this setting poses specific problems and the use of biological methods has not been well established with regard to restoring a functional acetabulum. These methods require the use of either a massive allograft or a massive autograft obtained by recycling of a tumor-bearing pelvic bone segment. Unfortunately, the incorporation of all massive grafts occurs through creeping substitution over many years, during which the graft may fracture, develop nonunion, become infected, and/or resorbed. Combination techniques using a free vascular fibula graft in the extremity setting have long been established as a method to overcome the complications related to the lengthy revitalization process in massive grafts. In the light of experience gained from extremity reconstructions, it can be presumed that a combined biological approach should also improve outcomes following internal hemipelvectomy procedures. While the authors prefer the combined use of liquid nitrogen recycled tumor-bearing segment and free vascular fibula grafts (FVFG), the choice of massive grafts may vary among institutions and surgeons.
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Özger, H., Alpan, B., Karaaltın, M.V. (2022). Biological Reconstruction of the Pelvis: I: Liquid-Nitrogen Treated Autograft and Onlaid Free Vascular Fibula. In: Özger, H., Sim, F.H., Puri, A., Eralp, L. (eds) Orthopedic Surgical Oncology For Bone Tumors . Springer, Cham. https://doi.org/10.1007/978-3-030-73327-8_7
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DOI: https://doi.org/10.1007/978-3-030-73327-8_7
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