Internal hemipelvectomy and reconstruction with a megaprosthesis |
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Authors: | Müller P E Dürr H R Wegener B Pellengahr C Refior H J Jansson V |
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Institution: | Department of Orthopedics, Universität Rostock, Ulmenstr. 44/45, 18055 Rostock, Germany, , , , ;Department of Orthopedics, Universitätsklinikum Großhadern, Ludwig-Maximilians-Universität München, München, Germany, , , , |
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Abstract: | We treated nine consecutive patients by internal hemipelvectomy and reconstruction with custom-made megaprosthesis between 1990 and 1997. Four had a primary malignant bone or soft tissue tumour, one a recurrent benign giant cell tumour, three solitary metastatic bony lesions, and one a pelvic defect secondary to multiple revision procedures after total hip replacement. After a mean follow-up period of 62 (40-102) months five patients were still alive, including four of the eight patients with tumours. Three patients died as a result of the malignant disease, and one died of an infection related to the surgical treatment after 10-41 months. In two patients removal of the prosthesis was required due to infection, and six patients suffered various complications. One patient had an excellent outcome. |
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