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Портал Begell Электронная Бибилиотека e-Книги Журналы Справочники и Сборники статей Коллекции
Journal of Long-Term Effects of Medical Implants
SJR: 0.145 SNIP: 0.491 CiteScore™: 0.89

ISSN Печать: 1050-6934
ISSN Онлайн: 1940-4379

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Journal of Long-Term Effects of Medical Implants

DOI: 10.1615/JLongTermEffMedImplants.2020035494
pages 69-76

Endoprosthetic Reconstruction of Type II Pelvic Resections

Olga D. Savvidou
First Department of Orthopedics, National and Kapodistrian University of Athens, School of Medicine, Attikon University Hospital, 12462, Athens, Greece
Markos Liontos
First Department of Orthopedics, National and Kapodistrian University of Athens, School of Medicine, Attikon University Hospital, 12462, Athens, Greece
Andreas G. Tsantes
First Department of Orthopedics, National and Kapodistrian University of Athens, School of Medicine, Attikon University Hospital, 12462, Athens, Greece
Dimitrios V. Papadopoulos
First Department of Orthopedics, National and Kapodistrian University of Athens, School of Medicine, Attikon University Hospital, 12462, Athens, Greece
Ioannis G. Trikoupis
First Department of Orthopedics, National and Kapodistrian University of Athens, School of Medicine, Attikon University Hospital, 12462, Athens, Greece
Pavlos Patapis
First Department of Orthopedics, National and Kapodistrian University of Athens, School of Medicine, Attikon University Hospital, 12462, Athens, Greece
Panayiotis J. Papagelopoulos
P.N. Soukakos Orthopaedic Research and Education Center, Sylvia Ioannou Biomechanics and Gait Analysis Laboratory, Attikon University Hospital, First Department of Orthopaedic Surgery, Medical School, National and Kapodistrian University of Athens, Athens, Greece

Краткое описание

The aim of the study was to evaluate the outcomes of pedestal cup and METS coned hemipelvis implants for periacetabular reconstruction after type II pelvic resections, including complications, failure rates, and functional outcomes. We retrospectively reviewed 25 patients, divided in two groups, who underwent internal hemipelvectomy and periacetabular reconstruction using either a pedestal cup (Group A = 13) or a METS coned hemipelvis (Group B = 12). The clinical, radiological, and oncological outcomes, as well as the complications, were assessed. There were no differences between the two groups regarding capacity for independent walking at 12 months and functional results. Mechanical and nonmechanical complication rates were also similar for the two groups. The two-year cumulative incidence of failure was 7.6% (95% CI 0.3-18.3) for group A and 8.8% (95% CI 1.7-20.1) for group B, while the four-year cumulative incidence of failure was 11% (95% CI 0.2-28.9) and 14.1% (95% CI 2.2-33.1), respectively. This study showed that both types of pelvic implants are reliable options for periacetabular reconstruction of bone defects after type II oncologic pelvic resections, having similar complication rates and functional results.


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