Reconstruction of the hemipelvis after the excision of malignant tumours. Complications and functional outcome of prostheses.
We treated 35 patients with primary malignant tumours of the periacetabular area by resection and prosthetic reconstruction of the defect. At a mean follow-up of 84 months, 15 patients (43%) were free from disease. The most common complications were deep infection (26%), local recurrence (24%) and recurrent dislocation of the hip (17%). The surviving patients achieved an average of 70% of their premorbid function. This method of reconstruction has a high morbidity and should be performed only at specialist centres, but the functional and oncological outcomes are satisfactory.
Abudu
A
A
Royal Orthopaedic Hospital Oncology Service, Birmingham, England, UK.
Grimer
R J
RJ
Cannon
S R
SR
Carter
S R
SR
Sneath
R S
RS
D000077:Acetabulum / Q000601:surgery*; D000203:Activities of Daily Living; D000293:Adolescent; D000328:Adult; D000368:Aged; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects / Q000592:standards*; D001859:Bone Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D018572:Disease-Free Survival; D005260:Female; D005500:Follow-Up Studies; D006617:Hip Dislocation / Q000209:etiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000209:etiology; D011474:Prosthesis Design; D011859:Radiography; D013530:Surgical Wound Infection / Q000209:etiology; D016896:Treatment Outcome