title: Two-staged revision with custom made prosthesis in septic failure of massive allograft reconstruction after type II-III pelvic resection.
abstract: Reconstruction of defects occurring during periacetabular resections of pelvic tumors is required particularly in young and functionally active persons. Allograft reconstruction provides good functional outcomes in restoration of normal pelvic anatomy. A 24-year-old male patient was reconstructed with an allograft-prosthesis composite after periacetabular resection due to pelvic chondrosarcoma. After four years, a two-staged revision with a custom-made pelvic prosthesis was performed due to septic failure. Successful radiographic and functional outcomes were achieved at two-year follow-up. In conclusion, we suggest a two-staged revision with a custom-made pelvic prosthesis as a satisfactory option in case of septic failure of allograft reconstruction after periacetabular resection.
authors.affiliation: Department of Orthopedics and Traumatology, Dr. Sami Ulus Training and Research Hospital, 06080 Altındağ, Ankara, Turkey. drsenolbekmez@gmail.com.
authors.forename: Senol
authors.initials: S
authors.lastname: Bekmez
authors.forename: Mehmet
authors.initials: M
authors.lastname: Ayvaz
authors.forename: M Uğur
authors.initials: MU
authors.lastname: Mermerkaya
authors.forename: A Mazhar
authors.initials: AM
authors.lastname: Tokgozoglu
mesh_terms: D000293:Adolescent; D064591:Allografts / Q000601:surgery; D002813:Chondrosarcoma / Q000601:surgery*; D006801:Humans; D008297:Male; D010386:Pelvic Neoplasms / Q000601:surgery*; D019736:Prostheses and Implants / Q000009:adverse effects*; D011474:Prosthesis Design; D011475:Prosthesis Failure / Q000209:etiology*; D019919:Prosthesis Implantation / Q000379:methods*; D016459:Prosthesis-Related Infections / Q000150:complications*; D012086:Reoperation / Q000295:instrumentation / Q000379:methods; D016896:Treatment Outcome; D055815:Young Adult