Ilizarov method to correct limb length discrepancy after limb-sparing hemipelvectomy.
Pelvic resection for a sarcoma in young patients is challenging, with significant functional, psychological, and social implications. We report the case of a 26-year-old former Ewing's sarcoma patient in whom the Ilizarov technique was applied to address 6 cm of leg length discrepancy secondary to internal hemipelvectomy with superomedial dislocation of the right femoral head. Fifteen years after the internal hemipelvectomy, the patient underwent distal femoral and bifocal tibial lengthening using circular frames. The results obtained in this patient underline the usefulness of the Ilizarov treatment to increase the quality of life in long-term survivors of pelvic bone cancer.
Orthopaedic Department and Ilizarov Unit, Alessandro Manzoni Hospital, Lecco, Italy.
Maurizio A
MA
Catagani
Giulia
G
Ottaviani
D000328:Adult; D001859:Bone Neoplasms / Q000601:surgery; D016267:External Fixators; D005260:Female; D006428:Hemipelvectomy; D006801:Humans; D018889:Ilizarov Technique; D007866:Leg / Q000503:physiopathology / Q000601:surgery*; D007870:Leg Length Inequality / Q000503:physiopathology / Q000601:surgery*; D019857:Osteogenesis, Distraction / Q000295:instrumentation / Q000379:methods*; D010384:Pelvic Bones / Q000601:surgery; D011788:Quality of Life; D020127:Recovery of Function; D012509:Sarcoma / Q000601:surgery; D016896:Treatment Outcome