Reconstruction using the saddle prosthesis following excision of primary and metastatic periacetabular tumors
From 1988 to 1991, 17 patients with malignant periacetabular tumors underwent limb-sparing surgery and reconstruction using the saddle prosthesis. There were 8 patients with primary malignant lesions (Group 1), and 9 patients with metastatic or systemic tumor involving the periacetabular pelvis (Gro...
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| Veröffentlicht in: | Clinical orthopaedics and related research 1995-05, Vol.314 (314), p.203-213 |
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| creator | ABOULAFIA, A. J BUCH, R MATHEWS, J LI, W MALAWER, M. M |
| description | From 1988 to 1991, 17 patients with malignant periacetabular tumors underwent limb-sparing surgery and reconstruction using the saddle prosthesis. There were 8 patients with primary malignant lesions (Group 1), and 9 patients with metastatic or systemic tumor involving the periacetabular pelvis (Group 2). All resections included excision of the acetabulum. Patients ranged in age from 24 to 76 years (average, 59.8 years). Local control was achieved in all patients. Wide margins were obtained in all patients with primary pelvic tumors. Functional outcomes were rated as follows excellent (10), good (2), fair (1), and poor (4). Three patients, all of whom had pulmonary metastasis before surgery, died within 8 months of surgery. Of the remaining 14 patients, 5 patients died between 6 and 28 months after the index procedure. At the end of the followup period, 9 patients were still alive (6 in Group 1 and 3 in Group 2), with a followup period ranging from 15 to 62 months (average, 33.4 months). The overall results for surviving patients were 7 excellent and 2 good results, with no fair or poor results. |
| doi_str_mv | 10.1097/00003086-199505000-00027 |
| format | Article |
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J ; BUCH, R ; MATHEWS, J ; LI, W ; MALAWER, M. M</creator><creatorcontrib>ABOULAFIA, A. J ; BUCH, R ; MATHEWS, J ; LI, W ; MALAWER, M. M</creatorcontrib><description>From 1988 to 1991, 17 patients with malignant periacetabular tumors underwent limb-sparing surgery and reconstruction using the saddle prosthesis. There were 8 patients with primary malignant lesions (Group 1), and 9 patients with metastatic or systemic tumor involving the periacetabular pelvis (Group 2). All resections included excision of the acetabulum. Patients ranged in age from 24 to 76 years (average, 59.8 years). Local control was achieved in all patients. Wide margins were obtained in all patients with primary pelvic tumors. Functional outcomes were rated as follows excellent (10), good (2), fair (1), and poor (4). Three patients, all of whom had pulmonary metastasis before surgery, died within 8 months of surgery. Of the remaining 14 patients, 5 patients died between 6 and 28 months after the index procedure. At the end of the followup period, 9 patients were still alive (6 in Group 1 and 3 in Group 2), with a followup period ranging from 15 to 62 months (average, 33.4 months). 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Transplantations, organ and tissue grafts. Graft diseases ; Survival Rate ; Treatment Outcome</subject><ispartof>Clinical orthopaedics and related research, 1995-05, Vol.314 (314), p.203-213</ispartof><rights>1995 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c465t-9fc7717fd294aae9546a6b2a881f210b6bbdad1a78ce6804bcaa209502bf25073</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27923,27924</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=3606804$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/7634637$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>ABOULAFIA, A. 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Functional outcomes were rated as follows excellent (10), good (2), fair (1), and poor (4). Three patients, all of whom had pulmonary metastasis before surgery, died within 8 months of surgery. Of the remaining 14 patients, 5 patients died between 6 and 28 months after the index procedure. At the end of the followup period, 9 patients were still alive (6 in Group 1 and 3 in Group 2), with a followup period ranging from 15 to 62 months (average, 33.4 months). The overall results for surviving patients were 7 excellent and 2 good results, with no fair or poor results.</description><subject>Acetabulum - surgery</subject><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Bone Neoplasms - diagnosis</subject><subject>Bone Neoplasms - mortality</subject><subject>Bone Neoplasms - secondary</subject><subject>Bone Neoplasms - surgery</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Hip Prosthesis - adverse effects</subject><subject>Hip Prosthesis - instrumentation</subject><subject>Humans</subject><subject>Lung Neoplasms - secondary</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Neoplasm Staging</subject><subject>Orthopedic surgery</subject><subject>Prosthesis Design</subject><subject>Prosthesis Failure</subject><subject>Reoperation</subject><subject>Sarcoma - diagnosis</subject><subject>Sarcoma - secondary</subject><subject>Sarcoma - therapy</subject><subject>Surgery (general aspects). 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M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c465t-9fc7717fd294aae9546a6b2a881f210b6bbdad1a78ce6804bcaa209502bf25073</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1995</creationdate><topic>Acetabulum - surgery</topic><topic>Adult</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Bone Neoplasms - diagnosis</topic><topic>Bone Neoplasms - mortality</topic><topic>Bone Neoplasms - secondary</topic><topic>Bone Neoplasms - surgery</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Hip Prosthesis - adverse effects</topic><topic>Hip Prosthesis - instrumentation</topic><topic>Humans</topic><topic>Lung Neoplasms - secondary</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Neoplasm Staging</topic><topic>Orthopedic surgery</topic><topic>Prosthesis Design</topic><topic>Prosthesis Failure</topic><topic>Reoperation</topic><topic>Sarcoma - diagnosis</topic><topic>Sarcoma - secondary</topic><topic>Sarcoma - therapy</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Survival Rate</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>ABOULAFIA, A. J</creatorcontrib><creatorcontrib>BUCH, R</creatorcontrib><creatorcontrib>MATHEWS, J</creatorcontrib><creatorcontrib>LI, W</creatorcontrib><creatorcontrib>MALAWER, M. M</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>Calcium & Calcified Tissue Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical orthopaedics and related research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>ABOULAFIA, A. J</au><au>BUCH, R</au><au>MATHEWS, J</au><au>LI, W</au><au>MALAWER, M. M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Reconstruction using the saddle prosthesis following excision of primary and metastatic periacetabular tumors</atitle><jtitle>Clinical orthopaedics and related research</jtitle><addtitle>Clin Orthop Relat Res</addtitle><date>1995-05-01</date><risdate>1995</risdate><volume>314</volume><issue>314</issue><spage>203</spage><epage>213</epage><pages>203-213</pages><issn>0009-921X</issn><eissn>1528-1132</eissn><coden>CORTBR</coden><abstract>From 1988 to 1991, 17 patients with malignant periacetabular tumors underwent limb-sparing surgery and reconstruction using the saddle prosthesis. There were 8 patients with primary malignant lesions (Group 1), and 9 patients with metastatic or systemic tumor involving the periacetabular pelvis (Group 2). All resections included excision of the acetabulum. Patients ranged in age from 24 to 76 years (average, 59.8 years). Local control was achieved in all patients. Wide margins were obtained in all patients with primary pelvic tumors. Functional outcomes were rated as follows excellent (10), good (2), fair (1), and poor (4). Three patients, all of whom had pulmonary metastasis before surgery, died within 8 months of surgery. Of the remaining 14 patients, 5 patients died between 6 and 28 months after the index procedure. At the end of the followup period, 9 patients were still alive (6 in Group 1 and 3 in Group 2), with a followup period ranging from 15 to 62 months (average, 33.4 months). The overall results for surviving patients were 7 excellent and 2 good results, with no fair or poor results.</abstract><cop>Heidelberg</cop><pub>Springer</pub><pmid>7634637</pmid><doi>10.1097/00003086-199505000-00027</doi><tpages>11</tpages></addata></record> |
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| ispartof | Clinical orthopaedics and related research, 1995-05, Vol.314 (314), p.203-213 |
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| subjects | Acetabulum - surgery Adult Aged Biological and medical sciences Bone Neoplasms - diagnosis Bone Neoplasms - mortality Bone Neoplasms - secondary Bone Neoplasms - surgery Female Follow-Up Studies Hip Prosthesis - adverse effects Hip Prosthesis - instrumentation Humans Lung Neoplasms - secondary Male Medical sciences Middle Aged Neoplasm Staging Orthopedic surgery Prosthesis Design Prosthesis Failure Reoperation Sarcoma - diagnosis Sarcoma - secondary Sarcoma - therapy Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Survival Rate Treatment Outcome |
| title | Reconstruction using the saddle prosthesis following excision of primary and metastatic periacetabular tumors |
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