Treatment of Advanced Metastatic Lesions of the Acetabulum Using the Saddle Prosthesis

Benevenia, Joseph; Cyran, F. P.; Biermann, J. Sybil; Patterson, Francis; Leeson, Mark C.

doi:10.1097/01.blo.0000141387.03035.3e

Cited by 51 publications

(46 citation statements)

References 19 publications

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“…Operation duration is also important to blood loss of pelvic tumour surgery. In most reports of primary or metastatic pelvic tumours, the average operation time was three to six hours and sometimes even more than ten hours [2,5,15,23]. In our study, the mean operation time was nearly four hours and time for reconstruction was around one hour.…”

Section: Discussionmentioning

confidence: 70%

Evaluation of blood loss during limb salvage surgery for pelvic tumours

Tang

Guo

Yang

et al. 2008

International Orthopaedics (SICOT)

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As a large amount of blood loss is sometimes encountered in limb salvage procedures for pelvic tumours, it is essential to identify risk factors predicting the possibility of extensive haemorrhage. We retrospectively reviewed 137 patients who underwent pelvic tumour resections. Patients with an estimated blood loss greater than 3,000 ml were classified as having a large amount of blood loss. Sixty-one (44.53%) patients had blood loss greater than 3,000 ml. Tumours involving the acetabulum or sacrum, tumour volume greater than 400 cm 3 , aorta occlusion, resection method, reconstruction and operative time were all associated with a large amount of blood loss. Pelvic tumours involving the acetabulum or sacrum (odds ratio: 4.837), tumour volume greater than 400 cm 3 (odds ratio: 3.005) and planned operation time of more than 200 min (odds ratio: 3.784) independently predicted a large amount of blood loss. Pelvic tumours with these characteristics were likely to have a large amount of blood loss during surgery.

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Section: Discussionmentioning

confidence: 70%

Evaluation of blood loss during limb salvage surgery for pelvic tumours

Tang

Guo

Yang

et al. 2008

International Orthopaedics (SICOT)

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“…We determined function using the International Society of Limb Salvage (ISOLS) scoring system [1,14], which is a modification of the initial Musculoskeletal Tumor Society (MSTS) score [5] and also determined a Toronto Extremity Salvage Score (TESS) [4] in a subset of the 191 patients. Among the last 100 patients surviving more than 1 year, 10 had an unknown address; for the remaining 90, we sent the MSTS and TESS questionnaires to 55 patients in the planned excision group and 35 patients in the unplanned excision group by mail.…”

Section: Methodsmentioning

confidence: 99%

Clinical and Treatment Outcomes of Planned and Unplanned Excisions of Soft Tissue Sarcomas

Arai

Nishida

Tsukushi

et al. 2010

Clinical Orthopaedics &Amp; Related Research

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“…Recently, however, limb salvage surgery in the pelvis is more common due to better function, quality of life and acceptable local recurrence. Though limb salvage surgery remains difficult and challenging, various methods were used to reconstruct the hemipelvis after periacetabular reconstruction resection, including ischiofemoral arthrodesis or pseudarthrosis, iliofemoral arthrodesis or pseudarthrosis [16],massive allograft [6,23,27,30],autoclaved autograft [20], allograft prosthetic composite [21,35], custom-made endoprosthesis combined with hip arthroplasty [1,17,38], modular saddle prosthesis [2,5,7] or modular hemipelvic endoprosthesis [37]. However, each method has its limitations, such as high complication or local recurrence rates or poor functional results after hemipelvic resection, etc [31].…”

Section: Introductionmentioning

confidence: 99%

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

Zhou

Duan

Liu

et al. 2011

International Orthopaedics (SICOT)

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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.

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Treatment of Advanced Metastatic Lesions of the Acetabulum Using the Saddle Prosthesis

Cited by 51 publications

References 19 publications

Evaluation of blood loss during limb salvage surgery for pelvic tumours

Evaluation of blood loss during limb salvage surgery for pelvic tumours

Clinical and Treatment Outcomes of Planned and Unplanned Excisions of Soft Tissue Sarcomas

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

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