Reconstruction of Acetabular Wall Using Autologous Bone Graft Following Resection of Pelvic Chondrosarcoma: Surgical Technique and Functional Outcome
Background: Pelvic chondrosarcoma may be difficult to manage due to its proximities with vital structures. The study aimed to explain an alternative surgical technique for acetabular reconstruction.
Case Presentation: We present a case of a 48-year-old female with large chondrosarcoma of the superior and inferior pubic rami with medial acetabular wall involvement. Pelvic type 3 resection was performed. There was a defect at medial acetabulum after resection. The defect was covered by autograft from iliac and fixation using screws. Rotational pelvic stability was maintained using a reconstruction plate. The functional outcome was assessed 6 months after operation using MSTS and the score was 30, which was painless, full weight bearing, normal gait, and no pain.
Conclusions: Reconstruction of the pelvis after tumor resection requires a careful preoperative patient evaluation and extensive bone and soft tissue resection to achieve negative tumor margins and stable reconstruction of the osseous and soft tissue defects.
Weber KL, Pring ME, Sim FH. Treatment and outcome of recurrent pelvic chondrosarcoma. Clin Orthop Relat Res. 2002;(397):19-28.
Wirbel RJ, Schulte M, Maier B, Koschnik M, Mutschler WE. Chondrosarcoma of the pelvis: oncologic and functional outcome. Sarcoma. 2000;4(4):161-8.
Gökkuş K, Akin T, Sagtas E, Saylik M, Aydın AT. Recurrence of Pelvic Chondrosarcoma through Fascial Defect into Abdominal Cavity. Case Rep Oncol Med. 2014;2014:674369-.
Laffosse JM, Pourcel A, Reina N, Tricoire JL, Bonnevialle P, Chiron P, Puget J. Primary tumor of the periacetabular region: Resection and reconstruction using a segmental ipsilateral femur autograft. OTSR. 2012;98:309-318.
Gerbers G.G, Jutte P. C. Hip-sparing approach using computer navigation in periacetabular chondrosarcoma. Comput Aided Surg. 2013;18(1-2):27-32.
Gelderblom H, Hogendoorn PC, Dijkstra SD, van Rijswijk CS, Krol AD, Taminiau AH, et al. The clinical approach towards chondrosarcoma. The oncologist. 2008;13(3):320-9.
Bovee JV, Hogendoorn PC, Wunder JS, Alman BA. Cartilage tumours and bone development: molecular pathology and possible therapeutic targets. Nat Rev Cancer. 2010;10(7):481-8.
Giuffrida AY, Burgueno JE, Koniaris LG, Gutierrez JC, Duncan R, Scully SP. Chondrosarcoma in the United States (1973 to 2003): an analysis of 2890 cases from the SEER database. J Bone Joint Surg Am. 2009;91(5):1063-72.
Campanacci DA, Scoccianti G, Franchi A, Roselli G, Beltrami G, Ippolito M, Caff G, Frenos F, Capanna R. Surgical treatment of central grade 1 chondrosarcoma of the appendicular skeleton. J Orthop Traumatol. 2013;14(2):101-7
Enneking WF, Dunham WK. Resection and reconstruction forprimary neoplasms involving the innominate bone. J Bone JointSurg Am. 1978;60:731–746.
Deloin X, Dumaine V, Biau D, Karoubi M, Babinet A, Tomeno B, et al. Pelvic chondrosarcomas: Surgical treatment options. Orthop Traumatol Surg Res. 2009;95(6):393-401.
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