[Pelvic resection with the salvage of the limb in musculoskeletal tumours.].
The authors evaluated the results of pelvic resections with preservation of the extremity, operations performed in 1975-1995 in 20 patients operated at the First Orthopaedic Clinic in Brno. In 11 instances a malignant disease was involved, three times a secondary, three times a benign tumour and three times a tumour-like affection. As to malignant tumours, most frequently a chondrosarcoma was found. The authors divided the resections according to Enneking into three types, moreover they differentiated between their combinations incl. extended complete conservative hemipelvectomy incl. resection of the head and neck of the femur and articular capsule while preserving the extremity. The authors submit their surgical procedure, solution and reconstruction of the pelvic floor. They emphasize the necessity of perfect prosthetic care and rehabilitation. In the investigated group of patients only once a local relapse of a giant cell tumour occurred. Of 11 patients with malignant pelvic tumours eight died however, within two years from generalization of the process. The authors recommend, if it is possible from the aspect of radicality, to consider as an alternative operation of classical hemipelvectomy also so-called conservative hemipelvectomy with preservation of the lower extremity. Key words: pelvectomy with the salvage of the limb, musculoskeletal tumours.
Janícek
P
P
I. ortopedická klinika LF MU, FN u sv. Anny, Brno.
Podlaha
J
J