Long-Term Results of Reconstruction with Pelvic Allografts after Wide Resection of Pelvic Sarcomas
Reconstruction after the resection of a pelvic tumor is a challenging procedure in orthopedic oncology. The main advantage of allograft reconstruction is restoration of the bony architecture of the complex pelvic region. However, high complication rates such as infection and allograft resorption had...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | The Scientific World Journal |
| Online Access: | http://dx.doi.org/10.1155/2014/605019 |
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| author | Mehmet Ayvaz Senol Bekmez M. Ugur Mermerkaya Omur Caglar Emre Acaroglu A. Mazhar Tokgozoglu |
| author_facet | Mehmet Ayvaz Senol Bekmez M. Ugur Mermerkaya Omur Caglar Emre Acaroglu A. Mazhar Tokgozoglu |
| author_sort | Mehmet Ayvaz |
| collection | DOAJ |
| description | Reconstruction after the resection of a pelvic tumor is a challenging procedure in orthopedic oncology. The main advantage of allograft reconstruction is restoration of the bony architecture of the complex pelvic region. However, high complication rates such as infection and allograft resorption had been reported in the literature. In this study, we aimed to retrospectively review nine patients treated with pelvic resection and structural pelvic allograft reconstruction. Functional results, complications, and survival of the patients and the allografts were evaluated. At a mean follow-up of 79 months, three patients were dead. Major complications were detected in eight of the nine patients. Infection (four of the nine patients) and allograft resorption (three of the nine patients) were the most common causes of failure. The cumulative survival of the patients was 66.7 percent at 70 months. However, allograft survival was only 26.7 percent at 60 months. Mean MSTS score was 69. In conclusion, we suggest that other reconstruction options should be preferred after pelvic resections because of the high complication rates associated with massive allograft reconstruction. |
| format | Article |
| id | doaj-art-15d4f20e002e4b3a8244763d3e3bc79c |
| institution | Kabale University |
| issn | 2356-6140 1537-744X |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | The Scientific World Journal |
| spelling | doaj-art-15d4f20e002e4b3a8244763d3e3bc79c2025-02-03T01:23:03ZengWileyThe Scientific World Journal2356-61401537-744X2014-01-01201410.1155/2014/605019605019Long-Term Results of Reconstruction with Pelvic Allografts after Wide Resection of Pelvic SarcomasMehmet Ayvaz0Senol Bekmez1M. Ugur Mermerkaya2Omur Caglar3Emre Acaroglu4A. Mazhar Tokgozoglu5Department of Orthopaedics and Traumatology, Faculty of Medicine, Hacettepe University, 06100 Ankara, TurkeyDepartment of Orthopaedics and Traumatology, Dr. Sami Ulus Training and Research Hospital, 06100 Ankara, TurkeyDepartment of Orthopaedics and Traumatology, Faculty of Medicine, Bozok University, 66000 Yozgat, TurkeyDepartment of Orthopaedics and Traumatology, Faculty of Medicine, Hacettepe University, 06100 Ankara, TurkeyAnkara Spine Center, Iran Street 45/2 Kavaklidere, 06100 Ankara, TurkeyDepartment of Orthopaedics and Traumatology, Faculty of Medicine, Hacettepe University, 06100 Ankara, TurkeyReconstruction after the resection of a pelvic tumor is a challenging procedure in orthopedic oncology. The main advantage of allograft reconstruction is restoration of the bony architecture of the complex pelvic region. However, high complication rates such as infection and allograft resorption had been reported in the literature. In this study, we aimed to retrospectively review nine patients treated with pelvic resection and structural pelvic allograft reconstruction. Functional results, complications, and survival of the patients and the allografts were evaluated. At a mean follow-up of 79 months, three patients were dead. Major complications were detected in eight of the nine patients. Infection (four of the nine patients) and allograft resorption (three of the nine patients) were the most common causes of failure. The cumulative survival of the patients was 66.7 percent at 70 months. However, allograft survival was only 26.7 percent at 60 months. Mean MSTS score was 69. In conclusion, we suggest that other reconstruction options should be preferred after pelvic resections because of the high complication rates associated with massive allograft reconstruction.http://dx.doi.org/10.1155/2014/605019 |
| spellingShingle | Mehmet Ayvaz Senol Bekmez M. Ugur Mermerkaya Omur Caglar Emre Acaroglu A. Mazhar Tokgozoglu Long-Term Results of Reconstruction with Pelvic Allografts after Wide Resection of Pelvic Sarcomas The Scientific World Journal |
| title | Long-Term Results of Reconstruction with Pelvic Allografts after Wide Resection of Pelvic Sarcomas |
| title_full | Long-Term Results of Reconstruction with Pelvic Allografts after Wide Resection of Pelvic Sarcomas |
| title_fullStr | Long-Term Results of Reconstruction with Pelvic Allografts after Wide Resection of Pelvic Sarcomas |
| title_full_unstemmed | Long-Term Results of Reconstruction with Pelvic Allografts after Wide Resection of Pelvic Sarcomas |
| title_short | Long-Term Results of Reconstruction with Pelvic Allografts after Wide Resection of Pelvic Sarcomas |
| title_sort | long term results of reconstruction with pelvic allografts after wide resection of pelvic sarcomas |
| url | http://dx.doi.org/10.1155/2014/605019 |
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