Limb Salvage in Periacetabular Sarcomas

Long-Term Results of Hemipelvis Reconstruction With Allografts

“…11,16,18,19 As compared with metal implants, allografts can be expected to improve functional outcomes by allowing soft tissue adhesion and to provide better long-term outcomes by developing a biologic union with the recipient bone. 1,2,4,22 Thirteen patients, including four patients with followups of 7 to 14 years, were studied to determine whether the expectations were met and whether allograft use facilitated cancer excision and modified the frequency or severity of mechanical complications or both.…”

Types of extended organ-sparing and reconstructive surgical interventions for tumor involvement of the cotyloid cavity

“…Основной проблемой яв-ляется частое развитие послеоперационных осложнений (25-65%), большинство которых, по данным разных ав-торов, обусловлено инфицированием послеоперацион-ной раны (20-39%) [14,18,[42][43][44][45]. Кроме того, ряд спе-циалистов сообщают о недостаточно высоком (45-57%) по шкале MSTS функциональном результате после по-добных операций [1,45,46].…”

Clinical and functional outcomes of the saddle prosthesis

“…Among the series present in the literature, good functional results have been reported for patients with short follow-up periods, while the results are often less favorable at longer follow-up (Table 1). A marked functional advantage is noted when implantation of a saddle prosthesis is compared to hemipelvectomy [4, 6–12]. By contrast, functional results are reported to be fair in most patients due to a limited range of motion and poor abductor muscle strength [2, 10].…”

“…al. [6]1759333 local wound complications;2 prosthetic dissociations;2 dislocations;1 secondary fracture;1 partial sciatic nerve lacerationMSTS9 patients were available for functional evaluation at follow-up:7 patients showed excellent function (17–20 points in Enneking system of functional evaluation)2 patients showed good function (14–15 points)Windhager [12]441341 femoral palsy;1 infectionMSTS1 patient: good2 patients: fair1 patient: poorThe mean MSTS score was 12.2 out of 30Renard et al [3]1548364 deep infections;3 fractures;5 cases of heterotopic ossificationMSTSSatisfactory short-term functional results. The mean MSTS score at 6 months was 50 % (no further detailed score figures are reported)Cottias et al [2]1744423 infections;2 mechanical failures;2 sacroiliac subluxations;4 migrations of the saddle;3 dislocations;3 cases of nerve damageMSTSTESS9 patients were available for functional evaluation at follow-up:The mean MSTS score was 57 %The mean TESS score was 58 points (range: 39–95 points)Natarajan et al [9]637301 deep infection;1 vascular thrombosisMSTS3 patients: excellent2 patients: good1 patient: poor(No further detailed score figures are reported)Benevenia et al [1]2061202 dislocations;1 hematoma and wound necrosisMSTSThe mean MSTS score was 55 %(No further detailed score figures are reported)Aljassir et al [4]27534510 infections;10 cases of heterotopic ossification;6 dislocations;6 fractures;5 nerve palsiesMSTSTESS14 patients were available for functional evaluation at follow-up:The mean MSTS 93 score was 50.8 %The mean MSTS 87 score was 15.3 %…”