Type lll internal hemipelvectomy for primary bone tumours with and without allograft reconstruction : a comparison of outcomes.
Bone Joint J
; 103-B(6): 1155-1159, 2021 Jun.
Article
en En
| MEDLINE
| ID: mdl-34058885
ABSTRACT
AIM:
There is insufficient evidence to support bony reconstruction of the pubis after a type III internal hemipelvectomy (resection of all or part of the pubis). In this study, we compared surgical complications, postoperative pain, and functional outcome in a series of patients who had undergone a type III internal hemipelvectomy with or without bony reconstruction.METHODS:
In a retrospective cohort study, 32 patients who had undergone a type III hemipelvectomy with or without allograft reconstruction (n = 15 and n = 17, respectively) were reviewed. The mean follow-up was 6.7 years (SD 3.8) for patients in the reconstruction group and 6.1 years (SD 4.0) for patients in the non-reconstruction group. Functional outcome was evaluated using the Musculoskeletal Tumor Society (MSTS) scoring system and the level of postoperative pain with a visual analogue scale (VAS).RESULTS:
The mean MSTS score of the patients was significantly better in patients after reconstruction (26 (SD 1.7) vs 22.7 (SD 2.0); p < 0.001). The mean visual analogue scale score for pain was significantly less in the reconstruction group (2.1 (SD 2) vs 4.2 (SD 2.2); p = 0.016). One infection occurred in each group. Bladder herniation occurred in three patients (17.6%) in the non-reconstruction group but none in the reconstruction group. Five patients (29.4%) in the non-reconstruction group and one (7%) in the reconstruction group had a limp. Graft displacement occurred in two patients in the reconstruction group.CONCLUSION:
We recommend reconstruction of the bony defect after a type III hemipelvectomy it gives a better functional result, less postoperative pain, and fewer late surgical complications. Cite this article Bone Joint J 2021;103-B(6)1155-1159.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Hueso Púbico
/
Neoplasias Óseas
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Hemipelvectomía
Tipo de estudio:
Observational_studies
/
Prognostic_studies
Límite:
Adolescent
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Adult
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
Bone Joint J
Año:
2021
Tipo del documento:
Article
País de afiliación:
Irán