Using polypropylene mesh graft for soft-tissue reconstruction in internal hemipelvectomy: a case report

World Journal of Surgical Oncology

Saranatra Waikakul¹  Apichat Asavamongkolkul¹ 

[1] Department of Orthopaedic Surgery, Faculty of Medicine, Siriraj Hospital, Mahidol University, 2 Prannok Road, Bangkok, 10700, Thailand

关键词: Polypropylene mesh graft;    Pelvis;    Malignant tumor;    Chondrosarcoma;    Internal hemipelvectomy;   

Others  :  827627
DOI  :  10.1186/1477-7819-10-124

 received in 2012-02-09, accepted in 2012-06-28,  发布年份 2012

【 摘 要 】

We report the case of a patient with chondrosarcoma involving the right pelvis and contralateral pubic area in a 45-year-old male who underwent an extensive internal hemipelvectomy without bony reconstruction. We demonstrate the technique of using polypropylene mesh graft for soft-tissue reconstruction. Follow-up at 7.5 years showed a good oncological and functional outcome.

【 授权许可】

   
2012 Asavamongkolkul and Waikakul; BioMed Central Ltd.

【 图 表 】

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【 参考文献 】

• [1]Miller TR: 100 cases of hemipelvectomy: a personal experience. Surg Clin North Am 1974, 54:905-913.
• [2]Hubert DM, Low DW, Serletti JM, Chang B, Dormans JP: Fibula free flap reconstruction of the pelvis in children after limb-sparing internal hemipelvectomy for bone sarcoma. Plast Reconstr Surg 2010, 125:195-200.
• [3]Akiyama T, Clark JC, Miki Y, Choong PF: The non-vascularised fibular graft: a simple and successful method of reconstruction of the pelvic ring after internal hemipelvectomy. J Bone Joint Surg Br 2010, 92:999-1005.
• [4]Harrington KD: The use of hemipelvic allografts or autoclaved grafts for reconstruction after wide resections of malignant tumors of the pelvis. J Bone Joint Surg Am 1992, 74:331-341.
• [5]Satcher RL, O’Donnell RJ, Johnston JO: Reconstruction of the pelvis after resection of tumors about the acetabulum. Clin Orthop Relat Res 2003, 409:209-217.
• [6]Fan QY, Ma BA, Zhou Y, Zhang MH, Hao XB: Bone tumors of the extremities of pelvis treated by microwave-induced hyperthermia. Clin Orthop Relat Res 2003, 406:165-175.
• [7]Mnaymneh W, Malinin T, Mnaymneh LG, Robinson D: Pelvic allograft. A case report with a follow-up evaluation of 5.5 years. Clin Orthop Relat Res 1990, 255:128-132.
• [8]Bruns J, Luessenhop SL, Dahmen G: Internal hemipelvectomy and endoprosthetic pelvic replacement: long-term follow-up results. Arch Orthop Trauma Surg 1997, 116:27-31.
• [9]Sun W, Li J, Li Q, Li G, Cai Z: Clinical effectiveness of hemipelvic reconstruction using computer-aided custom-made prostheses after resection of malignant pelvic tumors. J Arthroplasty 2011, 26:1508-1513.
• [10]Muller PE, Durr HR, Wegener B, Pellengahr C, Refior HJ, Jansson V: Internal hemipelvectomy and reconstruction with a megaprosthesis. Int Orthop 2002, 26:76-79.
• [11]Renard AJ, Veth RP, Schreuder HW, Pruszczynski M, Keller A, van Hoesel Q, Bokkerink JP: The saddle prosthesis in pelvic primary and secondary musculoskeletal tumors: functional results at several postoperative intervals. Arch Orthop Trauma Surg 2000, 120:188-194.
• [12]Eilber FR, Grant TT, Sakai D, Morton DL: Internal hemipelvectomy-excision of the hemipelvis with limb preservation. An alternative to hemipelvectomy. Cancer 1979, 43:806-809.
• [13]Steel HH: Partial or complete resection of the hemipelvis. An alternative to hindquarter amputation for periacetabular chondrosarcoma of the pelvis. J Bone Joint Surg Am 1978, 60:719-730.
• [14]Enneking WF, Dunham WK: Resection and reconstruction for primary neoplasms involving the innominate bone. J Bone Joint Surg Am 1978, 60:731-746.
• [15]Asavamongkolkul A, Pimolsanti R, Waikakul S, Kiatisevi P: Periacetabular limb salvage for malignant bone tumours. J Orthop Surg 2005, 13:273-279.
• [16]Schwartz AJ, Kiatisevi P, Eilber FC, Eilber FR, Eckardt JJ: The Friedman-Eilber resection arthroplasty of the pelvis. Clin Orthop Relat Res 2009, 467:2825-2830.
• [17]Enneking WF, Spanier SS, Goodman MA: A system for the surgical staging of musculoskeletal sarcoma. Clin Orthop Relat Res 1980, 286:241-246.
• [18]Enneking W, Dunham W, Gebhardt M, Malawar M, Pritchard D: A system for the classification of skeletal resections. Chir Organi Mov 1990, 1:S217-S240.
• [19]Enneking WF, Dunham W, Gebhardt MC, Malawar M, Pritchard DJ: A system for the function evaluation of reconstructive procedures after surgical treatment of tumors of the musculoskeletal system. Clin Orthop Relat Res 1993, 286:241-246.
• [20]Guest CB, Bell RS, Davis A, Langer F, Ling H, Gross AE, Czitrom A: Allograft-implant composite reconstruction following periacetabular sarcoma resection. J Arthroplasty 1990, 5:S25-S34.
• [21]O’Connor MI, Sim FH: Salvage of the limb in the treatment of malignant pelvic tumors. J Bone Joint Surg Am 1989, 71:481-494.
• [22]Stephenson RB, Kaufer H, Mankin FM: Partial pelvic resection as an alternative to hindquarter amputation for skeletal neoplasms. Clin Orthop Relat Res 1989, 242:1401-1406.
• [23]Abudu A, Grimer RJ, Cannon SR, Carter SR, Sneath RS: Reconstruction of the hemipelvis after the excision of malignant tumours. Complications and functional outcome of prostheses. J Bone Joint Surg Br 1997, 79:773-779.
• [24]Bruns J, Luessenhop S, Behrens P: Cost analysis of three different surgical procedures for treatment of a pelvic tumour. Langenbecks Arch Surg 1998, 383:359-363.