Implantation of hemipelvic prosthesis after resection of sarcoma

Toshihumi Ozaki, Christiane Hoffmann, Axel Hillmann, Georg Gosheger, Norbert Lindner, Winfried Winkelmann

Research output: Contribution to journalArticle

69 Citations (Scopus)

Abstract

Twelve adult patients with pelvic sarcoma had implantation of a hemipelvic prosthesis. Eight patients had hemipelvic resection, and four patients had acetabulopubic resection. The implanted prosthesis was a special Vitallium™ prosthesis, which was specially designed for each patient with the aid of a computer. At a median followup of 57 months, eight patients were free of disease. In four patients with local relapse, two had additional resection, one had hindquarter amputation, and one was observed. In three patients with deep infection, the prosthesis was removed; however, one patient had hindquarter amputation. One patient had dislocation of the hip and prosthesis loosening. Overall survival of patients was 70%, and the survival of prostheses was 42%. In eight patients, the functional evaluation showed that the average functional score with the prosthesis was 11.6 (39%) and without the prosthesis the functional score was 7.0 (23%). Implantation of a megaprosthesis seems to indicate a high complication rate and a poor functional result after hemipelvic resection.

Original languageEnglish
Pages (from-to)197-205
Number of pages9
JournalClinical Orthopaedics and Related Research
Issue number396
Publication statusPublished - 2002
Externally publishedYes

Fingerprint

Prosthesis Implantation
Sarcoma
Prostheses and Implants
Prosthesis Failure
Amputation
Vitallium
Hip Prosthesis

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Ozaki, T., Hoffmann, C., Hillmann, A., Gosheger, G., Lindner, N., & Winkelmann, W. (2002). Implantation of hemipelvic prosthesis after resection of sarcoma. Clinical Orthopaedics and Related Research, (396), 197-205.

Implantation of hemipelvic prosthesis after resection of sarcoma. / Ozaki, Toshihumi; Hoffmann, Christiane; Hillmann, Axel; Gosheger, Georg; Lindner, Norbert; Winkelmann, Winfried.

In: Clinical Orthopaedics and Related Research, No. 396, 2002, p. 197-205.

Research output: Contribution to journalArticle

Ozaki, T, Hoffmann, C, Hillmann, A, Gosheger, G, Lindner, N & Winkelmann, W 2002, 'Implantation of hemipelvic prosthesis after resection of sarcoma', Clinical Orthopaedics and Related Research, no. 396, pp. 197-205.
Ozaki T, Hoffmann C, Hillmann A, Gosheger G, Lindner N, Winkelmann W. Implantation of hemipelvic prosthesis after resection of sarcoma. Clinical Orthopaedics and Related Research. 2002;(396):197-205.
Ozaki, Toshihumi ; Hoffmann, Christiane ; Hillmann, Axel ; Gosheger, Georg ; Lindner, Norbert ; Winkelmann, Winfried. / Implantation of hemipelvic prosthesis after resection of sarcoma. In: Clinical Orthopaedics and Related Research. 2002 ; No. 396. pp. 197-205.
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