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01-12-2012 | Original Paper

Pelvic massive allograft reconstruction after bone tumour resection

Authors: Domenico Campanacci, Sara Chacon, Nicola Mondanelli, Giovanni Beltrami, Guido Scoccianti, Giuseppe Caff, Filippo Frenos, Rodolfo Capanna

Published in: International Orthopaedics | Issue 12/2012

Abstract

Purpose

The purpose of this report was to retrospectively review a series treated with pelvic tumour resection and massive allograft reconstruction, and determine survival of patients and implants, functional results and morbidity of surgical technique.

Methods

From 1999, 33 patients underwent pelvic tumour resection and massive allograft reconstruction. The mean age was 40 years (range, 14–72) and 29 patients had a primary malignant tumour. The resection involved the acetabular area in all but three patients.

Results

At a median follow-up of 33 months (range, two–143) four patients had local recurrence. The morbidity was high: five deep infections (15 %), requiring two allograft removal, six hip dislocations (18 %), eight sciatic nerve palsy (24 %), persistent in six cases, and two loosening of the acetabular component. Implant survival was 87.3 % at last follow up. The cumulative overall patient’s survival was 41.5 % at five and ten years. The average MSTS functional score was 70 % (range, 54–100 %) when the acetabulum was preserved while it was 61 % (30–100 %) in patients with acetabular resection.

Conclusion

In conclusion, pelvic allografts represent a valid option for reconstruction after resection of pelvic tumours but due to the associated morbidity, patients should be carefully selected.

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Title: Pelvic massive allograft reconstruction after bone tumour resection
Authors: Domenico Campanacci
Sara Chacon
Nicola Mondanelli
Giovanni Beltrami
Guido Scoccianti
Giuseppe Caff
Filippo Frenos
Rodolfo Capanna
Publication date: 01-12-2012
Publisher: Springer-Verlag
Published in: International Orthopaedics / Issue 12/2012
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-012-1677-4

At a glance: The STEP trials

Springer Medicine

Pelvic massive allograft reconstruction after bone tumour resection

Abstract

Purpose

Methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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