Acta Ortopédica Mexicana

Rico MG, Beltrán OA, Linares GLM, Aiello CV, Ochoa FJ, Fernando Badillo Vera
A new technique for reconstruction after partial internal hemi-pelvectomy
Acta Ortop Mex 2000; 14 (6)

Language: Español
References: 7
Page: 470-474
PDF: 41.33 Kb.

[Fulltext - PDF]

ABSTRACT

The conservative surgery of located bony tumors in pelvis, represents a challenge for the medical surgical team, of which demands an unquestionable experience. The innominate resection type II, II-A to and the IIA + IIIA has severe problems for reconstruction fince the remainig bone is a thin layer, with an irregular anatomy that prevents to make a stable and sound osteosynthesis. The objective of the present work is to demonstrate a new technique of reconstruction for the internal partial hemipelvectomy, by the use of a “Y” nail blocked with bolts to femur and with wires the iliac. This is a preliminary report of 2 patients. The advantages with this method are: to achieve an femoro iliac arthrodesis, or at least a non painful pseudoarthrosis; it doesn’t leave important shortening of the extremity and the patient returns quickly to their daily activities.


Key words: pelvis, neoplasms, surgery, hip.


REFERENCES

  1. Aboulafia Albert J, Buch R, Mattlews J, Li W, Malawer M: Reconstruction using the Saddle prosthesis following excision of primary and metastatic periacetabular tumors. Clinical Orthopaedics 1995; 314: 203, 13.

  2. Campanaci M, Capanna R: Orthop Clin North Am 1991; 22(1): 65-6, 72-5, 82.

  3. Cañadel JA: Pamplona España. Protocolos Terapéuticos del Cáncer de la Clínica Universitaria de Navarra. Editorial EUNSA 1983: 228-30.

  4. De Vita T. Vincent, Hellman Sanvel: Principios y tratamiento del Cáncer. Edit. Lippincot; 1997: 741-2.

  5. Giurea A, Ritschl P, Windhager R, Kaider A, Helwig V, Kotz R: The benefits of surgery in the treatment of pelvis metastases. International Orthopaedics (SICOT) 1997; 21: 343-8.

  6. Sugar Baker Pavl, Malawer M: Cirugía del cáncer musculoesquelético. Mosby Doyma 1995: 150, 163, 193, 195.

  7. Yamamuro T: In: Kyocera Orthopaedic Symposium in New Developments for Limb Salvage in Musculoskeletal Tumors. Kyoto, Japan: Springer-Verlag 1989: 451-6, 462-9, 478, 482.