Skip to main content
SpringerLink
Log in

Complications in Hemipelvic Resection/Allograft Reconstruction for Bone Sarcomas: Are They Prohibitive to Limb Salvage?

  • Conference paper
Limb Salvage

Abstract

Primary malignant bone tumors of the pelvic acetabular region present as difficult management problems for the orthopaedic surgeon. Although the option of limb salvage is appealing, the area of involvement is often adjacent to major neurovascular structures which are violated by the soft tissue mass of the sarcomatous lesion. Loss of the sciatic nerve will often yield a limited, functionless, lower extremity. These considerations lead to the management option of a formal hemipelvectomy [4, 15,24].

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Braund RR, Pigott JD (1966) AcetabuJectomy with preservation of the extremity. Operative technique and report of three cases. Am Surg 32: 112

    PubMed  CAS  Google Scholar 

  2. Buck BE, Malinin TI, Brown MD (1989) Bone transplantation and human immunodeficiency virus. Clin Orthop 240: 129–126

    PubMed  Google Scholar 

  3. Capanna R, Guernelli P, Riggieri P, Baigini R, Toni A, Picci P, Campanacci M (1987) Periacetabular pelvic resections. In: Enneking WF (ed) Limb salvage in musculoskeletal oncology. Churchill Livingstone, New York, pp 141–146

    Google Scholar 

  4. Coley BL, Higinbotham N (1958) Indications for hemipelvectomy. Surgery 44: 766

    PubMed  CAS  Google Scholar 

  5. Dodge LD and Johnston JO (1987) Internal hemipelvectomy and reconstruction for malignant primary acetabular tumors, a report of 5 cases. Orthopedics 10: 323–328

    PubMed  CAS  Google Scholar 

  6. Eilber FR, Eckardt J, Grant TJ (1987) Resection of malignant bone tumors of the pelvis: evaluation of local recurrence, survival function. In: Enneking WF (ed) Limb salvage in musculoskeletal oncology. Churchill Livingstone, New York, pp 136–141

    Google Scholar 

  7. Eilber FR, Grant IT, Sakai D, Morton DL (1979) Internal hemipelvectomy — excision of hemipelvis with limb preservation. Cancer 43: 806

    Article  PubMed  CAS  Google Scholar 

  8. Enneking WF (1966) Local resection of malignant lesions of the hip and pelvis. J Bone Joint Surg 48A: 991

    Google Scholar 

  9. Enneking WF (1986) A system of staging musculoskeletal neoplasms. Clin Orthop 204: 9

    PubMed  Google Scholar 

  10. Enneking WF (1987) Modification of the systems for functional evaluation of surgical management of musculoskeletal tumors. In: Enneking WF (ed) Limb salvage in musculoskeletal oncology. Churchill Livinstone, New York

    Google Scholar 

  11. Enneking WF, Dunham WK (1978) Resection and reconstruction for primary neoplasms involving the innominate bone. J Bone Joint Surg 6OA: 731

    Google Scholar 

  12. Enneking WF, Menendez LR (1987) Functional evaluation of various reconstructions after periacetabular resection of iliac lesions. In: Enneking WF (ed) Limb salvage in musculoskeletal oncology. Churchill Livingstone, New York, pp 117–135

    Google Scholar 

  13. Evans JE, Harvey JP, Nickel VL (1969) A nineteen year follow-up of chondrosarcoma of the proximal portion of the femur treated by resection, autoclaving and bone replacement. J Bone Joint Surg 51A: 598

    Google Scholar 

  14. Harrington KD, Johnston JO, Kaufer HN, Luck N Jr, Moore TM (1986) Limb salvage and prosthetic joint reconstruction for low-grade and selected high-grade sarcomas of bone after wide resection and replacement by autoclaved autogenic grafts. Clin Orthop 211: 180–214

    PubMed  Google Scholar 

  15. Higinbotham NL, Marcove RC, Casson P (1966) Hemipelvectomy: a clinical study of 100 cases with a five year follow-up on 60 patients. Surgery 59: 706

    PubMed  CAS  Google Scholar 

  16. Johnson JTH (1978) Reconstruction of the pelvic ring following tumor resection. J Bone Joint Surg 60A: 747

    Google Scholar 

  17. Johnston JO, Harries TJ, Alexander CE, Alexander AH (1983) Limb salvage procedure for neoplasms about the knee by spherocentric total knee arthroplasty and autogenous autoclaved bone grafting. Clin Orthop 181: 137–145

    PubMed  Google Scholar 

  18. Karaharju EO and Korkala OL (1985) Resection of large tumors of the anterior pelvic ring while preserving functional stability of the hip. Clin Orthop 195: 270

    PubMed  Google Scholar 

  19. Karakovsis CP (1984) Internal hemipelvectomy. Surg Gynecol Obstet 158: 279

    Google Scholar 

  20. Ku JL, Smith PA, Goldstein SA, Matthews LS (1985) An experimental investigation of the fate of autogenous autoclaved bone grafts. Orthop Trans 9: 340

    Google Scholar 

  21. Lane JM, Duane K, Glasser DB, Kroll M, Otis JC (1987) Periacetabular resections for malignant sarcomas. In: Enneking WF (ed) Limb salvage in musculoskeletal oncology. Churchill Livingstone, New York, pp 166–169

    Google Scholar 

  22. Mankin HJ, Doppelt S, Tomford W (1983) Clinical experience with allograft implantation. The first ten years. Clin Orthop 174: 69–86

    PubMed  Google Scholar 

  23. Nerubay J, Katznelson A (1982) Internal hemipelvectomy. Prog Clin Biol Res 99: 141

    PubMed  CAS  Google Scholar 

  24. Nilsonne U, Hjelmstedt A, Hakelius A (1968) Surgical problems in hemipelvectomy. Acta Orthop Scand 39: 161

    Article  PubMed  CAS  Google Scholar 

  25. Shives TC, Sim FH, Pritchard DJ, Bowman WE (1987) Limb salvage for tumors about the pelvic girdle. In: Enneking WF (ed) Limb salvage in musculoskeletal oncology. Churchill Livinstone, New York, pp 112–117

    Google Scholar 

  26. Smith WS, Struhl S (1988) Replantation of an autoclaved autogenous segment of bone for treatment of chondrosarcoma. J Bone Joint Surg 70A: 70–74

    Google Scholar 

  27. Steel HH (1978) Partial or complete resection of the hemipelvis. J Bone Joint Surg 60A: 719

    Google Scholar 

  28. Steel HH (1981) Resection of the hemipelvis for malignant disease: an alternative to hindquarter amputation for periacetabular chondrosarcoma of the pelvis. Semin Oncol 8: 222

    PubMed  CAS  Google Scholar 

  29. Transmission of HIV through bone transplantation. Case report and public health recommendations. (1988) MMWR 37: 597–599/JAMA 260: 2487–2488

    Google Scholar 

  30. Wanebo HJ, Whitehill R, Gaker D, Wang GJ, Morgan R, Constable W (1987) Composite pelvic resection. Arch Surg 122: 1401–1406

    Article  PubMed  CAS  Google Scholar 

  31. Ward JW et al. (1988) Transmission of human immunodeficiency virus (HIV) by blood transfusions screened as negative for HIV antibody. N Engl J Med 318: 473–477

    Article  PubMed  CAS  Google Scholar 

  32. Zamudio L, Pelaez L, Zavala L (1974) Partial anterior resection of the pelvis. Acta Orthop Scand 45: 393

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Case Western Reserve University, Cleveland, OH, 44109, USA

    M. J. Joyce & J. T. Makley

Authors
  1. M. J. Joyce
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. J. T. Makley
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Orthopaedic Department, University of Rennes Centre Hospitalier Hôpital Sud, 35056, Rennes, France

    F. Langlais M.D. (Professor and Chairman) (Professor and Chairman)

  2. Orthopaedic Clinic, Hôpital Cochin, 27, rue du Fg.St.-Jacques, 75014, Paris, France

    B. Tomeno

Rights and permissions

Reprints and permissions

Copyright information

© 1991 Springer-Verlag Berlin Heidelberg

About this paper

Cite this paper

Joyce, M.J., Makley, J.T. (1991). Complications in Hemipelvic Resection/Allograft Reconstruction for Bone Sarcomas: Are They Prohibitive to Limb Salvage?. In: Langlais, F., Tomeno, B. (eds) Limb Salvage. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-75879-9_17

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-75879-9_17

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-75881-2

  • Online ISBN: 978-3-642-75879-9

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation