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Pelvic reconstruction using saddle prosthesis following limb salvage operation for periacetabular tumour.

Abstract To assess the clinical results of pelvic reconstruction using a saddle prosthesis following limb salvage operation for periacetabular tumour.
PMID
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Authors

Mayor MeshTerms

Acetabulum

Hip Prosthesis

Keywords
Journal Title journal of orthopaedic surgery (hong kong)
Publication Year Start




PMID- 16914780
OWN - NLM
STAT- MEDLINE
DCOM- 20070119
LR  - 20170214
IS  - 1022-5536 (Print)
IS  - 1022-5536 (Linking)
VI  - 14
IP  - 2
DP  - 2006 Aug
TI  - Pelvic reconstruction using saddle prosthesis following limb salvage operation
      for periacetabular tumour.
PG  - 155-62
AB  - PURPOSE: To assess the clinical results of pelvic reconstruction using a saddle
      prosthesis following limb salvage operation for periacetabular tumour. METHODS:
      12 patients with sarcoma and 4 with metastasis involving the pelvis were treated 
      using the saddle prosthesis between 1995 and 2003 inclusive. Wide pelvic
      resection was performed for all patients with sarcoma and one with a metastatic
      lesion; intralesional excision of the acetabulum was undertaken for the remaining
      3 patients with metastatic lesions. Oncologic prognosis, operation time,
      postoperative function, and complications were assessed retrospectively. RESULTS:
      Of the 12 patients with sarcomas, 5 were alive without evidence of recurrence
      after a mean follow-up of 37 months, one was alive with disease, 3 died of the
      disease, and 3 of other medical conditions. Respective mean postoperative
      functional scores according to the Musculoskeletal Tumor Society-International
      Symposium on Limb Salvage system and the Toronto Extremity Salvage Score were 53 
      and 64% in patients undergoing wide acetabular resection, and 30 and 42% in
      patients undergoing intralesional excision of the acetabulum. In patients
      undergoing wide acetabular resection and intralesional excision of the
      acetabulum, the mean operation times were 391 and 162 minutes respectively,
      whereas the mean times to ambulation were 7 and 4 days respectively. Major
      complications included infection and dislocation. CONCLUSION: Saddle prosthesis
      arthroplasty is a useful option for pelvic reconstruction following resection of 
      acetabular malignancies. It is associated with a short operation time, rapid
      recovery, and moderately good postoperative function, but a relatively high risk 
      of complications.
FAU - Kitagawa, Y
AU  - Kitagawa Y
AD  - Department of Orthopaedics, University of Melbourne, Department of Surgery, St
      Vincent's Hospital Melbourne, Fitzroy, Victoria, Australia.
FAU - Ek, E T
AU  - Ek ET
FAU - Choong, P F M
AU  - Choong PF
LA  - eng
PT  - Journal Article
PL  - England
TA  - J Orthop Surg (Hong Kong)
JT  - Journal of orthopaedic surgery (Hong Kong)
JID - 9440382
SB  - IM
MH  - *Acetabulum/surgery
MH  - Adult
MH  - Aged
MH  - Arthroplasty, Replacement, Hip/*methods
MH  - Bone Neoplasms/*surgery/therapy
MH  - Chondrosarcoma/surgery
MH  - Combined Modality Therapy
MH  - Female
MH  - *Hip Prosthesis
MH  - Humans
MH  - Kidney Neoplasms/secondary
MH  - Limb Salvage
MH  - Male
MH  - Middle Aged
MH  - Neoplasm Metastasis
MH  - Osteosarcoma/surgery
MH  - Pelvic Bones/surgery
MH  - Prosthesis Design
MH  - Reconstructive Surgical Procedures/*methods
MH  - Sarcoma/pathology/*surgery/therapy
MH  - Treatment Outcome
EDAT- 2006/08/18 09:00
MHDA- 2007/01/20 09:00
CRDT- 2006/08/18 09:00
PHST- 2006/08/18 09:00 [pubmed]
PHST- 2007/01/20 09:00 [medline]
PHST- 2006/08/18 09:00 [entrez]
AID - 10.1177/230949900601400210 [doi]
PST - ppublish
SO  - J Orthop Surg (Hong Kong). 2006 Aug;14(2):155-62. doi:
      10.1177/230949900601400210.