Extra-articular resection of the hip joint for pelvic sarcomas: Are there any oncological and functional risks compared with intra-articular resection?

Fujiwara, Tomohiro; Tsuda, Yusuke; Stevenson, Jonathan; Parry, Michael; Jeys, Lee

doi:10.1016/j.jbo.2021.100401

Cited by 5 publications

(6 citation statements)

References 47 publications

(69 reference statements)

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“…In the current study 3 patients (19%) had a deep infection, this might be attributed to the versatility of the different types of sarcomas included in the study and the substantial insult to the surrounding soft tissue. Nonetheless, these numbers are significantly low compared to the reported literature on reconstruction surgeries (20)(21)(22)32). In contrast, the reported postoperative complication rates for resectioning periacetabular tumors without reconstruction are much lower.…”

Section: Discussionmentioning

confidence: 78%

“…However, the novelty of 3D-printing techniques limits most comparisons in the literature. Infection is one of the most prevalent complications, which tremendously affects the patients' wellbeing, hospitalization time, and revision surgery (20)(21)(22)32). Ogura and colleagues (32).…”

Section: Discussionmentioning

confidence: 99%

“…The total infection rate was 27.3%, with 21.2% of deep infection. In a recent study by Fujiwara et al ( 20 ) the authors reported on 75 patients who underwent resection and reconstruction due to bone sarcoma, with a mean follow-up period of 73 months (range, 6– 256 months). The most common complications were dislocation and deep infection, accounting for 28%.…”

Section: Discussionmentioning

confidence: 99%

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Less is better than more with resection of periacetabular tumors – A retrospective 16 years study and literature review

Atzmon¹,

Drexler²,

Dolkart³

et al. 2022

Front. Surg.

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IntroductionWide resections of periacetabular tumors create a sizeable bony defect that inevitably results in severe loss of function. Reconstruction of such defects usually requires using large metal implants, a feature associated with considerable surgery extension and complications. The aim of this study is to report resection with no reconstruction of the bony defect. In this retrospective study, we reviewed a consecutive series of 16 patients diagnosed with malignant periacetabular tumors and underwent en-bloc resection without reconstructing their remaining bone defect.MethodsRecords were reviewed of 16 consecutive patients diagnosed with malignant periacetabular tumors and underwent en-bloc resection without reconstructing their remaining bony defect. Measurements included: the duration of surgery, blood loss, hemoglobin levels and the need for blood transfusions, data on other hospitalization characteristics, and intraoperative and postoperative complications.ResultsSixteen patients with malignant periacetabular bone tumors and extensive bone destruction underwent wide periacetabular tumor resection with a mean follow-up of 75 months and a mean age of 53 years. The average HOOS score was 46 (range: 20 to 76), and the mean MSTS score was 13% (range: 0 to 15). The mean operative time was 4.1 h, and the mean blood loss was 1200 ml. At their most recent follow-up, patients had a mean shortening of their operated extremity of 4.8 cm, and all could ambulate with assisting devices.ConclusionWide resection of periacetabular tumors without reconstruction provides acceptable levels of function and was associated with shorter surgical time, less blood loss and fewer postoperative complications compared to resection with reconstruction. Therefore, this approach may be considered a viable surgical option in patients with an extensive malignant periacetabular.Level IIIRetrospective study.

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Section: Discussionmentioning

confidence: 78%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Less is better than more with resection of periacetabular tumors – A retrospective 16 years study and literature review

Atzmon¹,

Drexler²,

Dolkart³

et al. 2022

Front. Surg.

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“…Patients often require multiple surgeries to address the associated complications. 2,[41][42][43][44][45][46][47][48][49][50] Type III resection rarely needs any bony reconstruction (Fig. 9).…”

Section: Surgerymentioning

confidence: 99%

Pelvic bone sarcomas, prognostic factors, and treatment: A narrative review of the literature

et al. 2023

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Primary sarcomas of bone are rare malignant mesenchymal tumors. The most common bone sarcomas are osteosarcoma, Ewing’s sarcoma, and chondrosarcoma. The prognosis has improved over the years, but bone sarcomas are still life-threatening tumors that need a multidisciplinary approach for diagnosis and treatment. Bone sarcomas arising in the pelvis present a unique challenge to orthopedic oncologists due to the absence of natural anatomical barriers, the close proximity of vital neurovascular structures, and the high mechanical demands placed on any pelvic reconstruction following the excision of the tumor. While radiotherapy has an important role especially in Ewing’s sarcoma and chemotherapy for both Ewing’s sarcoma and osteosarcoma, surgery remains the main choice of treatment for all three entities. While external hemipelvectomy has remained one option, the main aim of surgery is limb salvage. After complete tumor resection, the bone defect needs to be reconstructed. Possibilities to reconstruct the defect include prosthetic or biological reconstruction. The method of reconstruction is dependent on the location of tumor and the surgery required for its removal. The aim of this article is to give an insight into pelvic bone sarcomas, their oncological and surgical outcomes, and the options for treatment based on the authors’ experiences.

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“…This interesting study from Birmingham (UK) compared the risks of extra-articular resection (EAR) of the hip joint and intra-articular resection (IAR) for bone sarcomas of the periacetabulum. 6 The study focused on a series of 75 patients who…”

Section: Extra-articular Resection Of the Hip Joint For Pelvic Sarcom...mentioning

confidence: 99%

Oncology

2022

Bone & Joint 360

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Extra-articular resection of the hip joint for pelvic sarcomas: Are there any oncological and functional risks compared with intra-articular resection?

Cited by 5 publications

References 47 publications

Less is better than more with resection of periacetabular tumors – A retrospective 16 years study and literature review

Less is better than more with resection of periacetabular tumors – A retrospective 16 years study and literature review

Pelvic bone sarcomas, prognostic factors, and treatment: A narrative review of the literature

Oncology

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