Internal hemipelvectomy

European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology
M HamdiP Recloux

Abstract

Until recently, tumours involving the pelvis were usually treated by hemipelvectomy, otherwise called "hindquarter amputation". A more recent approach of treating these tumours is the 'conservative hemipelvectomy', which consists of removing the tumour and sparing the lower extremity. A patient with Ewing's sarcoma of the pelvis underwent such a procedure. The femoral head was fixed temporarily to the remaining parts of the acetabulum and the iliac wing by a Steinman pin. The Steinman pin was removed 6 weeks after the operation and the patient was then put into traction for another 6 weeks. Weight-bearing was gradually allowed after 3 to 6 months. The patient remodelled a neoacetabulum, which gave sufficient stability to the hip joint. Walking without external help was possible. The patient presented with a 2 cm limb-shortening. No local recurrence was observed during a follow-up of 30 months. This experience with internal hemipelvectomy shows an encouraging result in terms of tumour control and gait function.

References

Nov 1, 1989·American Journal of Surgery·C P KarakousisD L Driscoll
May 15, 1993·Cancer·A J Aboulafia, M M Malawer

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Citations

Jun 14, 2014·Journal of Neurosurgery. Spine·Michelle J ClarkeJean-Paul Wolinsky
Feb 1, 2003·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·R C PollockS R Cannon
Jan 15, 2003·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Toshifumi OzakiStefan S Bielack
Apr 23, 2009·Clinical Orthopaedics and Related Research·Adam J SchwartzJeffrey J Eckardt
Dec 21, 2005·Journal of Orthopaedic Surgery·A AsavamongkolkulP Kiatsevee

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