The swing procedure for pelvic ring reconstruction following tumour excision.
OBJECTIVE
High grade periacetabular osteosarcomas extending to the sacro-iliac region present a difficult management problem. We describe our experience of the swing procedure as a method of limb salvage.


METHODS
The procedure was performed on three patients with stage II B osteosarcoma.


RESULTS
Functional outcome was poor in all three with a mean Musculoskeletal Tumor Society score of 29% (27-30) at last review. All three developed local recurrence and one developed pulmonary metastases. The mean disease free interval post-operatively was 4.7 months (4-6) and they died of their disease at a mean of 10 months (5-16).


CONCLUSIONS
This form of limb salvage is technically demanding and carries a high morbidity. Functional outcome is poor and the prognosis for this group of patients is not improved by surgery. Alternative treatment options are discussed.
Pollock
R C
RC
The London Bone and Soft Tissue Tumour Service, Royal National Orthopaedic Hospital, Brockley Hill, Stanmore, Middlesex HA74LP, UK. rob@pollock39.freeserve.co.uk
Skinner
J A
JA
Blunn
G W R
GW
Pringle
J A S
JA
Briggs
T W R
TW
Cannon
S R
SR
D000293:Adolescent; D000328:Adult; D000971:Antineoplastic Combined Chemotherapy Protocols; D016063:Blood Loss, Surgical; D001859:Bone Neoplasms / Q000188:drug therapy / Q000401:mortality / Q000601:surgery*; D018572:Disease-Free Survival; D005260:Female; D006801:Humans; D007902:Length of Stay; D008279:Magnetic Resonance Imaging; D008297:Male; D009336:Necrosis; D009364:Neoplasm Recurrence, Local / Q000209:etiology / Q000401:mortality; D009367:Neoplasm Staging; D012516:Osteosarcoma / Q000188:drug therapy / Q000401:mortality / Q000601:surgery*; D010388:Pelvis / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D011300:Preoperative Care; D011475:Prosthesis Failure; D016459:Prosthesis-Related Infections / Q000209:etiology / Q000401:mortality; D019651:Plastic Surgery Procedures; D013524:Surgical Flaps / Q000009:adverse effects; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome