title: Reconstruction of the hemipelvis after the excision of malignant tumours. Complications and functional outcome of prostheses.
abstract: 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.
authors.affiliation: Royal Orthopaedic Hospital Oncology Service, Birmingham, England, UK.
authors.forename: A
authors.initials: A
authors.lastname: Abudu
authors.forename: R J
authors.initials: RJ
authors.lastname: Grimer
authors.forename: S R
authors.initials: SR
authors.lastname: Cannon
authors.forename: S R
authors.initials: SR
authors.lastname: Carter
authors.forename: R S
authors.initials: RS
authors.lastname: Sneath
mesh_terms: 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