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International Orthopaedics

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01-03-2018 | Original Paper

Extra-articular resection is a limb-salvage option for sarcoma involving the hip joint

Authors: Dasen Li, Lu Xie, Wei Guo, Xiaodong Tang, Tao Ji, Rongli Yang

Published in: International Orthopaedics | Issue 3/2018

Abstract

Introduction

With the development of surgical techniques and improvements in hemi-pelvic prosthesis systems, extra-articular resection can be performed as a limb-salvage procedure in selected patients whose hip joint is invaded by a sarcoma. The aim of this study was to describe the indications for and the technical details, post-operative complications, and oncologic and functional outcomes of this procedure.

Methods

Eighteen patients with Enneking IIB or IB sarcoma who underwent extra-articular resection of the hip joint were enrolled. A modular pelvic endoprosthesis combined with a femoral endoprosthesis was used to reconstruct the bone and joint defect. Pathological diagnoses included osteosarcoma (7 patients), chondrosarcoma (7), undifferentiated high-grade pleomorphic sarcoma (3), and malignant peripheral nerve-sheath tumour (1).

Results

Wide, marginal and intralesional surgical margin was achieved in 13, four and one patients, respectively. There was one peri-operative death and the other 17 patients were followed up for 35.0 months (range, 10–75 months). Three patients had early-stage dislocations. One had a traumatic dislocation three years later. Two patients had wound complications. The average MSTS 93 score was 63.5% ± 10.8%. Four patients had local recurrence. The estimated three-year disease-free survival and overall survival for the 18 patients were both 50.0%.

Conclusion

Although technically demanding, extra-articular resection of hip is a limb-salvage procedure that is worth considering for carefully selected patients.

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Title: Extra-articular resection is a limb-salvage option for sarcoma involving the hip joint
Authors: Dasen Li
Lu Xie
Wei Guo
Xiaodong Tang
Tao Ji
Rongli Yang
Publication date: 01-03-2018
Publisher: Springer Berlin Heidelberg
Published in: International Orthopaedics / Issue 3/2018
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-018-3771-8

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Extra-articular resection is a limb-salvage option for sarcoma involving the hip joint

Abstract

Introduction

Methods

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Introduction

Methods

Results

Conclusion

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