THE USE OF HEMIPELVIC ALLOGRAFTS OR AUTOCLAVED GRAFTS FOR RECONSTRUCTION AFTER WIDE RESECTIONS OF MALIGNANT-TUMORS OF THE PELVIS

被引:141
作者
HARRINGTON, KD
机构
[1] UNIV CALIF SAN FRANCISCO,SAN FRANCISCO,CA 94143
[2] CALIF PACIFIC MED CTR,SAN FRANCISCO,CA
关键词
D O I
10.2106/00004623-199274030-00003
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Fourteen patients who had a malignant tumor of the pelvic bone, adjacent to the acetabulum, were managed with a wide en bloc resection that included most of the hemipelvis as well as the hip. Reconstruction was done with either a massive allograft or replacement of the resected bone after it had been autoclaved. The duration of follow-up ranged from four to eleven years, with a mean of seven years. One osteosarcoma recurred locally, and a repeat excision was done. Two patients who had had a solitary supra-acetabular metastasis preoperatively had systemic metastases much later, but no local recurrence. At the most recent follow-up examination, twelve patients had no evidence of tumor, and all had a functioning lower limb. After a minimum of two years, all grafts had healed and were structurally normal as seen roentgenographically. Later, however, three of the fourteen grafts had failed by fracture, and numerous other complications were evident. The described regimens offer superior functional results compared with other options for management, despite the complications.
引用
收藏
页码:331 / 341
页数:11
相关论文
共 27 条
[1]
FRACTURES OF ALLOGRAFTS - FREQUENCY, TREATMENT, AND END-RESULTS [J].
BERREY, BH ;
LORD, CF ;
GEBHARDT, MC ;
MANKIN, HJ .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1990, 72A (06) :825-833
[2]
CAMPANACCI M, 1987, LIMB SALVAGE MUSCULO, P187
[3]
CAPANNA R, 1987, LIMB SALVAGE MUSCULO, P141
[4]
Dunham WK, 1987, LIMB SALVAGE MUSCULO, P170
[5]
Eilber F. R., 1987, LIMB SALVAGE MUSCULO, P136
[6]
RESECTION AND RECONSTRUCTION FOR PRIMARY NEOPLASMS INVOLVING INNOMINATE BONE [J].
ENNEKING, WF ;
DUNHAM, WK .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1978, 60 (06) :731-746
[7]
THE SURGICAL STAGING OF MUSCULOSKELETAL SARCOMA [J].
ENNEKING, WF ;
SPANIER, SS ;
GOODMAN, MA .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1980, 62 (06) :1027-1030
[8]
ENNEKING WF, 1987, LIMB SALVAGE MUSCULO, P117
[9]
ENNEKING WF, 1987, LIMB SALVAGE MUSCULO, P5
[10]
HARRINGTON KD, 1986, CLIN ORTHOP RELAT R, P180