Modified hemipelvectomy: conservation of the upper iliac wing and an anterior musculo-cutaneous flap.
Very large bone and soft tissue tumors located in the pelvis or upper thigh may require hemipelvectomy if local excision is not possible. Classical hemipelvectomy is associated with a high risk of local complications and usually with a poor functional result. This paper describes a modified hemipelvectomy where the preservation of the upper iliac wing provides a counterpressure for the external prosthesis, and a vascularized anterior musculo-cutaneous thigh flap decreases the risk of skin necrosis and wound problems.
Gebhart
M
M
Department of Oncological Surgery, Institut Bordet, Université Libre de Bruxelles, Belgium.
Collignon
A
A
Lejeune
F
F
D000328:Adult; D000671:Amputation, Surgical / Q000379:methods*; D006428:Hemipelvectomy / Q000379:methods*; D006801:Humans; D008297:Male; D013584:Sarcoma, Synovial / Q000601:surgery; D013848:Thigh