Top

International Orthopaedics

Published in:

01-12-2011 | Original Paper

Outcome after pelvic sarcoma resection and reconstruction with a modular hemipelvic prostheses

Authors: Yong Zhou, Hong Duan, Yang Liu, Li Min, Qingquan Kong, Chongqi Tu

Published in: International Orthopaedics | Issue 12/2011

Abstract

Purpose

The aim of this study was to evaluate the early clinical outcome of reconstruction with modular hemipelvic prostheses after pelvic sarcoma resection.

Methods

We retrospectively reviewed eight patients between 2004 and 2007 who had periacetabular resections and reconstruction with a modular hemipelvic prosthetic system for pelvic sarcoma with a mean follow-up of 27 (range,10~54) months. Oncology outcome was assessed with survival rate, local recurrence rate, International Society of Limb Salvage (ISOLS) score and complications. Two patients had types I and II (periacetabular and ilium) pelvic resections, three had types II and III (periacetabular and pubis) pelvic resections and three had type I , II and III (ilium, periacetabular and pubis) pelvic resections. Nobody received chemotherapy or radiotherapy.

Results

Five patients were free of disease; three patients died of disease. The overall survival rate was 62.5%. None had local recurrence, and 37.5% had metastasis. The mean ISOLS score was 19.5. No one had deep infection or dislocation.

Conclusions

Reconstruction with a modular hemipelvic prosthetic system after periacetabular resection is a promising method because of the acceptable complication rate and satisfactory functional outcome.

Abudu A, Grimer RJ, Cannon SR, Carter SR, Sneath RS (1997) Reconstruction of the hemipelvis after excision of malignant tumors. J Bone Joint Surg 79:773–779CrossRef

Aboulafia AJ, Buch R, Mathews J, Li W, Malawer MM (1995) Reconstruction using the saddle prosthesis following excision of primary and metastatic periacetabular tumors. Clin Orthop Relat Res 314:203–213PubMed

Adell R, Lekholm U, Rockler B, Brånemark PI (1981) A 15-year study of osseointegrated implants in the treatment of the edentulous jaw. Int J Oral Surg 10:387–416PubMedCrossRef

Albrektsson T, Branemark PI, Hansson HA, Lindström J (1981) Osseointegrated titanium implants. Requirements for ensuring a long-lasting, direct bone-to-implant anchorage in man. Acta Orthop Scand 52:155–170PubMedCrossRef

Aljassir F, Beadel GP, Turcotte RE, Griffin AM, Bell RS, Wunder JS, Isler MH (2005) Outcome after pelvic sarcoma resection reconstructed with saddle prosthesis. Clin Orthop Relat Res 438:36–41PubMedCrossRef

Bell RS, Davis AM, Wunder JS, Buconjic T, McGoveran B, Gross AE (1997) Allograft reconstruction of the acetabulum after resection of grade II B sarcoma. Intermediateterm results. J Bone Joint Surg 79A:1663–1674

Benevenia J, Cyran FP, Biermann JS, Patterson FR, Leeson MC (2004) Treatment of advanced metastatic lesions of the acetabulum using the saddle prosthesis. Clin Orthop Relat Res 426:23–31PubMedCrossRef

Brånemark R, Brånemark PI, Rydevik B, Myers RR (2001) Osseointegration in skeletal reconstruction and rehabilitation: a review. J Rehabil Res Dev 38:175–181PubMed

Brånemark PI (1983) Osseointegration and its experimental studies. J Prosthet Dent 50:399–410PubMedCrossRef

10.

Buser D, Schenk RK, Steinemann S, Fiorellini JP, Fox CH, Stich H (1991) Influence of surface characteristics on bone integration of titanium implants. A histomorphometric study miniature pigs. J Biomed Mater Res 25:889–902PubMedCrossRef

11.

Carlsson L, Rostlund T, Albrektsson B, Albrektsson T, Brånemark PI (1986) Osseointegration of titanium implants. Acta Orthop Scand 57:285–289PubMedCrossRef

12.

Cottias P, Jeanrot C et al (2001) Complications and functional evaluation of 17 saddle prostheses for resection of periacetabular tumors. J Surg Oncol 78:90–100PubMedCrossRef

13.

Enneking WF, Spanier SS, Goodman MA (1980) A system for the surgical staging of musculoskeletal sarcoma. Clin Orthop Relat Res 153:106–120PubMed

14.

Enneking WF, Dunham W, Gebhardt MC, Malawar M, Pritchard DJ (1993) A system for the function evaluation of reconstructive procedures after surgical treatment of tumors of the musculoskeletal system. Clin Orthop Relat Res 286:241–246PubMed

15.

Esposito M, Hirsch J, Lekholm U, Thomsen P (1999) Differential diagnosis and treatment strategies for biologic complications and failing oral implants: A review of the literature. Int J Oral Maxillofac Implants 14:473–490PubMed

16.

Fuchs B, O’Connor MI, Kaufman KR, Padgett DJ, Sim FH (2002) Iliofemoral arthrodesis and pseudarthrosis: a long-term functional outcome evaluation. Clin Orthop Relat Res 397:29–35PubMedCrossRef

17.

Gradinger R, Rechl H, Hipp E (1991) Pelvic osteosarcoma. Clin Orthop Relat Res 270:149–157PubMed

18.

Guéhennec LL, Soueidan A, Layrolle P, Amouriq Y (2007) Surface treatments of titanium dental implants for rapid osseointegration. Dent Mater 23:844–854PubMedCrossRef

19.

Haraldson T (1980) A photoelastic study of some biomechanical factors affecting the anchorage of osseointegrated implants in the jaw. Scand J Plast Reconstr Surg 14:209–214PubMedCrossRef

20.

Harrington KD (1992) The use of hemipelvis allografts or autoclaved grafts for reconstruction after wide resection of malignant tumors of the pelvis. J Bone Joint Surg 74:331–341PubMed

21.

Hejna MJ, Gitelis S (1997) Allograft prosthetic composite replacement for bone tumors. Semin Surg Onc 13:18–24CrossRef

22.

Kujala S, Ryhänen J, Danilov A, Tuukkanen J (2003) Effect of porosity on the osteointegration and bone ingrowth of a weight-bearing nickel–titanium bone graft substitute. Biomaterials 24:4691–4697PubMedCrossRef

23.

Kohler R, Lorge F, Brunat-Mentigny M, Noyer D, Patricot L (1990) Massive bone allografts in children. Int Orthop 14:249–253PubMedCrossRef

24.

Lavelle CL, Wedgwood D, Love WB (1981) Some advances in endosseous implants. J Oral Rehabil 8:319–331PubMedCrossRef

25.

Lemons JE (2004) Biomaterials, biomechanics, tissue healing, and immediate-function dental implants. J Oral Implantol 30:318–324PubMedCrossRef

26.

Linder L, Carlsson A, Marsal L, Bjursten LM, Branemark PI (1988) Clinical aspects of osseointegration in joint replacement histological study titanium implants. J Bone Joint Surg 70B:550–555

27.

Matejovsky Z Jr, Matejovsky Z, Kofranek I (2006) Massive allografts in tumour surgery. Int Orthop 30:478–483PubMedCrossRef

28.

Montes CC, Pereira FA, Thome G, Alves ED, Acedo RV, Souza JR, Melo AC, Trevilatto PC (2007) Failing factors associated with osseointegrated dental implant loss. Implant Dent 16:404–412PubMedCrossRef

29.

Nieder E, Engelbrecht E, Steinbrink K et al (1990) The Saddle Prosthesis for salvage of the destroyed acetabulum. J Bone Joint Surg 72B:1014–1022

30.

Ozaki T, Hillmann A, Bettin D et al (1996) High complication rates with pelvic allografts: experience of 22 sarcoma resections. Acta Orthop Scand 67:333–338PubMedCrossRef

31.

Ozaki T, Hoffmann C, Hillmann A, Gosheger G, Lindner N, Winkelmann W (2002) Implantation of hemipelvic prosthesis after resection of sarcoma. Clin Orthop Relat Res 396:197–205PubMedCrossRef

32.

Panagakos FS, Aboyoussef H, Dondero R, Jandinski JJ (1996) Detection and measurement of inflammatory cytokines in implant crevicular fluid: a pilot study. Int J Oral Maxillofac Implants 11:794–799PubMed

33.

Porter JA, Von Fraunhofer JA (2005) Success or failure of dental implants? A literature review with treatment considerations. Gen Dent 53:433–446

34.

Satcher RL Jr, O'Donnell RJ, Johnston JO (2003) Reconstruction of the pelvis after resection of tumors about the acetabulum. Clin Orthop Relat Res 409:209–217CrossRef

35.

Schwameis E, Dominkus M, Krepler P, Dorotka R, Lang S, Windhager R, Kotz R (2002) Reconstruction of the pelvis after tumor resection in children and adolescents. Clin Orthop Relat Res 402:220–235PubMedCrossRef

36.

Smith DE, Zarb GA (1989) Criteria for success of osseointegrated endosseous implants. J Prosthet Dent 62:567–572PubMedCrossRef

37.

Wei G, Dasen L, Xiaodong T (2007) Reconstruction with modular hemipelvic prostheses for periacetabular tumor. Clin Orthop Relat Res 461:180–188

38.

Windhager R, Karner J, Kutschera HP, Polterauer P, Salzer-Kuntschik M, Kotz R (1996) Limb salvage in periacetabular sarcomas:review of 21 consecutive cases. Clin Orthop Relat Res 331:265–276PubMedCrossRef

39.

Wirbel RJ, Schulte M, Maier B, Mutschler WE (1999) Megaprosthetic replacement of the pelvis: function in 17 cases. Acta Orthop 70:348–352CrossRef

Title: Outcome after pelvic sarcoma resection and reconstruction with a modular hemipelvic prostheses
Authors: Yong Zhou
Hong Duan
Yang Liu
Li Min
Qingquan Kong
Chongqi Tu
Publication date: 01-12-2011
Publisher: Springer-Verlag
Published in: International Orthopaedics / Issue 12/2011
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-011-1222-x

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Outcome after pelvic sarcoma resection and reconstruction with a modular hemipelvic prostheses

Abstract

Purpose

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

Please log in to get access to this content

Other articles of this Issue 12/2011

Mineralisation and mechanical strength of the glenoid cavity subchondral bone plate

Hemi-Castaing ligamentoplasty for the treatment of chronic lateral ankle instability: a retrospective assessment of outcome

Conservative versus surgical management of Pipkin type I fractures associated with posterior dislocation of the hip: a randomised controlled trial

The relation of tumour necrosis and survival in patients with osteosarcoma

Scorpio single radius total knee arthroplasty. A minimal five-year follow-up multicentric study

Comparison of five patellar height measurement methods in 90° knee flexion