CORR Insights^®: Is It Possible and Safe to Perform Acetabular-preserving Resections for Malignant Neoplasms of the Periacetabular Region?

Excerpt

Periacetabular resections for malignant pelvic bone tumors are difficult and are associated with frequent complications. With the advent of computerized navigation software, it has become possible to consider bone-sparing resections for selected tumors based upon their anatomic location around the acetabulum. In addition to the intraoperative surgical challenges in removing the tumor, the reconstruction methods after removal of the acetabulum themselves are prone to complications and premature failures. If one could show that a less-extensive tumor resection allowed appropriate oncologic margins and control, improved function owing to the surgeon’s ability to leave the hip joint intact likely would follow. This type of surgery now is possible. …