Abstract
For malignant pelvic tumors adequate oncologic resection can significantly reduce recurrence rate. Postoperative complications such as infection and delayed healing affect the postoperative functional recovery. Occasionally malignant pelvic tumors may only affect the anterior or posterior column at acetabular area. Minimizing the recurrence rate and optimizing function at the same time is a difficult problem. For single column lesions of the anterior or posterior column, precise resection is a key to ensure best functional outcomes while no complicated reconstruction is needed. In recent years, we have accomplished the reconstruction of bone tumors involving the acetabulum by utilizing meticulous preoperative planning and precise single column resection and reconstruction with a total hip replacement.
Satisfactory local control can be obtained by accurate preoperative design and safe removal of tumor. Navigation has enhanced accurate preoperative planning and allowed precise intraoperative real-time guidance enabling partial resection of the acetabulum and reconstruction. From our experience, the current treatment method is oncologically safe and functional with less complication in periacetabulur tumors that only involve single acetabulum columns.
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Niu, X., Xu, H. (2022). Biological Reconstruction of the Pelvis: II: Femoral Head Plus Total Hip Replacement. 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_8
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DOI: https://doi.org/10.1007/978-3-030-73327-8_8
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