Periacetabular reconstruction following limb-salvage surgery for pelvic sarcomas

Tomohiro Fujiwara, Koichi Ogura, Alexander Christ, Meredith Bartelstein, Shachar Kenan, Nicola Fabbri, John Healey

Research output: Contribution to journalReview articlepeer-review

1 Citation (Scopus)

Abstract

Limb-salvage surgery for pelvic sarcomas remains one of the most challenging surgical procedures for musculoskeletal oncologists. In the past several decades, various surgical techniques have been developed for periacetabular reconstruction following pelvic tumor resection. These methods include endoprosthetic reconstruction, allograft or autograft reconstruction, arthrodesis, and hip transposition. Each of these procedures has its own advantages and disadvantages, and there is no consensus or gold standard for periacetabular reconstruction. Consequently, this review provides an overview of the clinical outcomes for each of these reconstructive options following pelvic tumor resections. Overall, high complication rates are associated with the use of massive implants/grafts, and deep infection is generally the most common cause of reconstruction failure. Functional outcomes decline with the occurrence of severe complications. Further efforts to avoid complications using innovative techniques, such as antibiotic-laden devices, computer navigation, custom cutting jigs, and reduced use of implants/grafts, are crucial to improve outcomes, especially in patients at a high risk of complications.

Original languageEnglish
Article number100396
JournalJournal of Bone Oncology
Volume31
DOIs
Publication statusPublished - Dec 2021
Externally publishedYes

Keywords

  • Acetabulum
  • Limb-salvage
  • Pelvis
  • Reconstruction
  • Sarcoma

ASJC Scopus subject areas

  • Oncology

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