Reconstruction of the Hemipelvis after the Excision of Malignant Tumours

Authors:
  • RGRobert J. Grimer
    Robert J. Grimer
  • SCStephen R. Cannon
    Stephen R. Cannon
  • SCSimon R. Carter
    Simon R. Carter
  • RSRodney S. Sneath
    Rodney S. Sneath
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Abstract
We treated 35 patients with primary malignant tumours of the periacetabular area by resection and prosthetic reconstruction of the defect. At a mean follow-up of 84 months, 15 patients (43%) were free from disease. The most common complications were deep infection (26%), local recurrence (24%) and recurrent dislocation of the hip (17%). The surviving patients achieved an average of 70% of their premorbid function. This method of reconstruction has a high morbidity and should be performed only at specialist centres, but the functional and oncological outcomes are satisfactory.