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Outcome after pelvic sarcoma resection and reconstruction with a modular hemipelvic prostheses

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Abstract

Purpose

The aim of this study was to evaluate the early clinical outcome of reconstruction with modular hemipelvic prostheses after pelvic sarcoma resection.

Methods

We retrospectively reviewed eight patients between 2004 and 2007 who had periacetabular resections and reconstruction with a modular hemipelvic prosthetic system for pelvic sarcoma with a mean follow-up of 27 (range,10~54) months. Oncology outcome was assessed with survival rate, local recurrence rate, International Society of Limb Salvage (ISOLS) score and complications. Two patients had types I and II (periacetabular and ilium) pelvic resections, three had types II and III (periacetabular and pubis) pelvic resections and three had type I , II and III (ilium, periacetabular and pubis) pelvic resections. Nobody received chemotherapy or radiotherapy.

Results

Five patients were free of disease; three patients died of disease. The overall survival rate was 62.5%. None had local recurrence, and 37.5% had metastasis. The mean ISOLS score was 19.5. No one had deep infection or dislocation.

Conclusions

Reconstruction with a modular hemipelvic prosthetic system after periacetabular resection is a promising method because of the acceptable complication rate and satisfactory functional outcome.

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Authors and Affiliations

  1. Department of Orthopedics, West China Hospital, Sichuan University, Chengdu, China, 610041

    Yong Zhou, Hong Duan, Yang Liu, Li Min, Qingquan Kong & Chongqi Tu

Authors
  1. Yong Zhou
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  2. Hong Duan
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  3. Yang Liu
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  4. Li Min
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  5. Qingquan Kong
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  6. Chongqi Tu
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Corresponding author

Correspondence to Chongqi Tu.

Additional information

Level of Evidence: Therapeutic study, Level IV-1 (case series without control group). See the Guidelines for Authors for a complete description of levels of evidence.

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Zhou, Y., Duan, H., Liu, Y. et al. Outcome after pelvic sarcoma resection and reconstruction with a modular hemipelvic prostheses. International Orthopaedics (SICOT) 35, 1839–1846 (2011). https://doi.org/10.1007/s00264-011-1222-x

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  • DOI: https://doi.org/10.1007/s00264-011-1222-x

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