Reconstruction after pelvic resectionfor sarcomas of bone

Reconstruction of the pelvis after tumor resection requires careful preoperative planning, meticulous surgicaltechnique, and soft tissue coverage. The method of reconstruction depends on the type of pelvic resection and may involve autologous tissue, allografts, and metal. Often, a combination of bone grafts and metal constructs are needed to provide continuity between the axial and appendicular skeleton and to maximize function. Complications are frequent and can result in diminished function and occasional loss of limb. The goal of independent function without assistive devices is achieved in only a small number of patients.