Megaprosthetic replacement of the pelvis: Function in 17 cases
Between 1980 and 1997, we treated 39 patients (mean age 39 (16-66) years, 24 men) with megaprosthetic replacement of a large bone defect (> 10 cm) of the pelvis. The bone resection was necessary in 38 cases due to malignant bone and soft tissue tumors and in 1 case due to hydatid disease. Polyace...
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| Veröffentlicht in: | Acta orthopaedica 1999, Vol.70 (4), p.348-352 |
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| creator | Wirbel, Reiner J Schulte, Michael Maier, Bernd Mutschler, Wolf E |
| description | Between 1980 and 1997, we treated 39 patients (mean age 39 (16-66) years, 24 men) with megaprosthetic replacement of a large bone defect (> 10 cm) of the pelvis. The bone resection was necessary in 38 cases due to malignant bone and soft tissue tumors and in 1 case due to hydatid disease. Polyacetal hemipelvic replacement was performed in 29 cases, CAD hemipelvic replacement in 8 cases, and a saddle prosthesis was inserted in 2 cases.
All patients were followed clinically and radio-graphically. The mean follow-up was 58 (15-110) months. 20 patients have died of their tumor. 10 local infections occurred, in 2 cases necessitating hemi-pelvectomy. Hip dislocation occurred in 6 cases. 13 of the remaining 17 survivors had good or excellent clinical results according to the Enneking evaluation (MSTS). In 6 of the 17 survivors, radiographs revealed implant loosening. |
| doi_str_mv | 10.3109/17453679908997823 |
| format | Article |
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All patients were followed clinically and radio-graphically. The mean follow-up was 58 (15-110) months. 20 patients have died of their tumor. 10 local infections occurred, in 2 cases necessitating hemi-pelvectomy. Hip dislocation occurred in 6 cases. 13 of the remaining 17 survivors had good or excellent clinical results according to the Enneking evaluation (MSTS). In 6 of the 17 survivors, radiographs revealed implant loosening.</description><identifier>ISSN: 1745-3674</identifier><identifier>ISSN: 0001-6470</identifier><identifier>EISSN: 1745-3682</identifier><identifier>DOI: 10.3109/17453679908997823</identifier><identifier>PMID: 10569264</identifier><identifier>CODEN: AOSAAK</identifier><language>eng</language><publisher>Basingstoke: Informa UK Ltd</publisher><subject>Adolescent ; Adult ; Aged ; Biological and medical sciences ; Bone Diseases - diagnostic imaging ; Bone Diseases - surgery ; Bone Neoplasms - diagnostic imaging ; Bone Neoplasms - surgery ; Echinococcosis - diagnostic imaging ; Echinococcosis - surgery ; Female ; Humans ; Male ; Medical sciences ; Middle Aged ; Orthopedic surgery ; Pelvic Bones - diagnostic imaging ; Prostheses and Implants ; Radiography ; Retrospective Studies ; Sarcoma - surgery ; Soft Tissue Neoplasms - surgery ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><ispartof>Acta orthopaedica, 1999, Vol.70 (4), p.348-352</ispartof><rights>1999 Informa UK Ltd All rights reserved: reproduction in whole or part not permitted 1999</rights><rights>1999 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c431t-dff550f66a2f77f4012657d34fae2668107b6ac7af0282104e0acee85d37b7943</citedby><cites>FETCH-LOGICAL-c431t-dff550f66a2f77f4012657d34fae2668107b6ac7af0282104e0acee85d37b7943</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,4010,27900,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1988841$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10569264$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wirbel, Reiner J</creatorcontrib><creatorcontrib>Schulte, Michael</creatorcontrib><creatorcontrib>Maier, Bernd</creatorcontrib><creatorcontrib>Mutschler, Wolf E</creatorcontrib><title>Megaprosthetic replacement of the pelvis: Function in 17 cases</title><title>Acta orthopaedica</title><addtitle>Acta Orthop Scand</addtitle><description>Between 1980 and 1997, we treated 39 patients (mean age 39 (16-66) years, 24 men) with megaprosthetic replacement of a large bone defect (> 10 cm) of the pelvis. The bone resection was necessary in 38 cases due to malignant bone and soft tissue tumors and in 1 case due to hydatid disease. Polyacetal hemipelvic replacement was performed in 29 cases, CAD hemipelvic replacement in 8 cases, and a saddle prosthesis was inserted in 2 cases.
All patients were followed clinically and radio-graphically. The mean follow-up was 58 (15-110) months. 20 patients have died of their tumor. 10 local infections occurred, in 2 cases necessitating hemi-pelvectomy. Hip dislocation occurred in 6 cases. 13 of the remaining 17 survivors had good or excellent clinical results according to the Enneking evaluation (MSTS). In 6 of the 17 survivors, radiographs revealed implant loosening.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Bone Diseases - diagnostic imaging</subject><subject>Bone Diseases - surgery</subject><subject>Bone Neoplasms - diagnostic imaging</subject><subject>Bone Neoplasms - surgery</subject><subject>Echinococcosis - diagnostic imaging</subject><subject>Echinococcosis - surgery</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Orthopedic surgery</subject><subject>Pelvic Bones - diagnostic imaging</subject><subject>Prostheses and Implants</subject><subject>Radiography</subject><subject>Retrospective Studies</subject><subject>Sarcoma - surgery</subject><subject>Soft Tissue Neoplasms - surgery</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><issn>1745-3674</issn><issn>0001-6470</issn><issn>1745-3682</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kEtLJEEQhAtZUVf9AV6kD4u3WevV9VARRNYHKF703ORUZ-20VHePVd0u_ntrmFFXBE-ZJF8kEUHIHqO_BaP2kGlZCqWtpcZabbhYI1uL20Qow3-871pukp8pPVIqjLR0g2wyWirLldwip7f4F-axT8MMh8YVEecBHLbYDUXvi3wt5hiem3RUXIydG5q-K5quYLpwkDDtkHUPIeHuam6Th4s_9-dXk5u7y-vzs5uJk4INk9r7sqReKeBeay8p46rUtZAekCtlGNVTBU6Dp9xwRiXSbAJNWQs91VaKbXKw_JutPo2YhqptksMQoMN-TFVOYzSnC5AtQZczpYi-msemhfhSMVotSqu-lJY1-6vn47TF-j_FsqUM_FoBkBwEH6FzTfrgrDFGsoydLLGm831s4V8fQ10N8BL6-KYR39k4_iSfIYRh5iBi9diPscv9fhPiFdzfmCA</recordid><startdate>1999</startdate><enddate>1999</enddate><creator>Wirbel, Reiner J</creator><creator>Schulte, Michael</creator><creator>Maier, Bernd</creator><creator>Mutschler, Wolf E</creator><general>Informa UK Ltd</general><general>Taylor & Francis</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>1999</creationdate><title>Megaprosthetic replacement of the pelvis: Function in 17 cases</title><author>Wirbel, Reiner J ; Schulte, Michael ; Maier, Bernd ; Mutschler, Wolf E</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c431t-dff550f66a2f77f4012657d34fae2668107b6ac7af0282104e0acee85d37b7943</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1999</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Bone Diseases - diagnostic imaging</topic><topic>Bone Diseases - surgery</topic><topic>Bone Neoplasms - diagnostic imaging</topic><topic>Bone Neoplasms - surgery</topic><topic>Echinococcosis - diagnostic imaging</topic><topic>Echinococcosis - surgery</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Orthopedic surgery</topic><topic>Pelvic Bones - diagnostic imaging</topic><topic>Prostheses and Implants</topic><topic>Radiography</topic><topic>Retrospective Studies</topic><topic>Sarcoma - surgery</topic><topic>Soft Tissue Neoplasms - surgery</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wirbel, Reiner J</creatorcontrib><creatorcontrib>Schulte, Michael</creatorcontrib><creatorcontrib>Maier, Bernd</creatorcontrib><creatorcontrib>Mutschler, Wolf E</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Acta orthopaedica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wirbel, Reiner J</au><au>Schulte, Michael</au><au>Maier, Bernd</au><au>Mutschler, Wolf E</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Megaprosthetic replacement of the pelvis: Function in 17 cases</atitle><jtitle>Acta orthopaedica</jtitle><addtitle>Acta Orthop Scand</addtitle><date>1999</date><risdate>1999</risdate><volume>70</volume><issue>4</issue><spage>348</spage><epage>352</epage><pages>348-352</pages><issn>1745-3674</issn><issn>0001-6470</issn><eissn>1745-3682</eissn><coden>AOSAAK</coden><abstract>Between 1980 and 1997, we treated 39 patients (mean age 39 (16-66) years, 24 men) with megaprosthetic replacement of a large bone defect (> 10 cm) of the pelvis. The bone resection was necessary in 38 cases due to malignant bone and soft tissue tumors and in 1 case due to hydatid disease. Polyacetal hemipelvic replacement was performed in 29 cases, CAD hemipelvic replacement in 8 cases, and a saddle prosthesis was inserted in 2 cases.
All patients were followed clinically and radio-graphically. The mean follow-up was 58 (15-110) months. 20 patients have died of their tumor. 10 local infections occurred, in 2 cases necessitating hemi-pelvectomy. Hip dislocation occurred in 6 cases. 13 of the remaining 17 survivors had good or excellent clinical results according to the Enneking evaluation (MSTS). In 6 of the 17 survivors, radiographs revealed implant loosening.</abstract><cop>Basingstoke</cop><pub>Informa UK Ltd</pub><pmid>10569264</pmid><doi>10.3109/17453679908997823</doi><tpages>5</tpages></addata></record> |
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| ispartof | Acta orthopaedica, 1999, Vol.70 (4), p.348-352 |
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| language | eng |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection |
| subjects | Adolescent Adult Aged Biological and medical sciences Bone Diseases - diagnostic imaging Bone Diseases - surgery Bone Neoplasms - diagnostic imaging Bone Neoplasms - surgery Echinococcosis - diagnostic imaging Echinococcosis - surgery Female Humans Male Medical sciences Middle Aged Orthopedic surgery Pelvic Bones - diagnostic imaging Prostheses and Implants Radiography Retrospective Studies Sarcoma - surgery Soft Tissue Neoplasms - surgery Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases |
| title | Megaprosthetic replacement of the pelvis: Function in 17 cases |
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