Complications following Iliac Wing Fibrosarcoma
The aim of this case report is to underline surgical strategies for complications in a case of a young man with fibrosarcoma of the bone treated with pelvic resection followed by reconstruction with massive bone allograft. A type I pelvic resection was performed as a radical resection of tumor follo...
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| Format: | Article |
| Language: | English |
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Wiley
2019-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2019/9259571 |
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| author | G. Stan H. Orban R. Deculescu |
| author_facet | G. Stan H. Orban R. Deculescu |
| author_sort | G. Stan |
| collection | DOAJ |
| description | The aim of this case report is to underline surgical strategies for complications in a case of a young man with fibrosarcoma of the bone treated with pelvic resection followed by reconstruction with massive bone allograft. A type I pelvic resection was performed as a radical resection of tumor followed by a biological reconstruction of iliac wing using frozen allograft. The iliac allograft was fixed in place using 4 screws. The immediate postoperative period was complicated with local sepsis of reconstructed site treated with pediculate omentoplasty. After 1 year from surgery, the X-ray exam showed an integrated allograft. After 20 years from the first surgery, the patient presented with the left hip pain of 3-month duration with mechanical pattern. The X-ray and CT exam showed the left hip arthritis and no signs of recurrence. A total hip arthroplasty with dual mobility cup and uncemented stem was performed. Despite the immediate postoperative local infection, the allograft was left in place and integrated after all. Omentoplasty could be a very useful technique in eradicating local infection, due to the immunogenic properties of the omentum. The allograft is still strong enough to give support for a hip arthroplasty at 20 years after implantation. |
| format | Article |
| id | doaj-art-6dbe31e37bbf45e58e2d64fe4eb242d0 |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-6dbe31e37bbf45e58e2d64fe4eb242d02025-02-03T01:28:37ZengWileyCase Reports in Orthopedics2090-67492090-67572019-01-01201910.1155/2019/92595719259571Complications following Iliac Wing FibrosarcomaG. Stan0H. Orban1R. Deculescu2UMF Carol Davila, Bucharest, RomaniaUMF Carol Davila, Bucharest, RomaniaOrthopaedics and Traumatology, Elias Universitary Hospital, Bucharest, RomaniaThe aim of this case report is to underline surgical strategies for complications in a case of a young man with fibrosarcoma of the bone treated with pelvic resection followed by reconstruction with massive bone allograft. A type I pelvic resection was performed as a radical resection of tumor followed by a biological reconstruction of iliac wing using frozen allograft. The iliac allograft was fixed in place using 4 screws. The immediate postoperative period was complicated with local sepsis of reconstructed site treated with pediculate omentoplasty. After 1 year from surgery, the X-ray exam showed an integrated allograft. After 20 years from the first surgery, the patient presented with the left hip pain of 3-month duration with mechanical pattern. The X-ray and CT exam showed the left hip arthritis and no signs of recurrence. A total hip arthroplasty with dual mobility cup and uncemented stem was performed. Despite the immediate postoperative local infection, the allograft was left in place and integrated after all. Omentoplasty could be a very useful technique in eradicating local infection, due to the immunogenic properties of the omentum. The allograft is still strong enough to give support for a hip arthroplasty at 20 years after implantation.http://dx.doi.org/10.1155/2019/9259571 |
| spellingShingle | G. Stan H. Orban R. Deculescu Complications following Iliac Wing Fibrosarcoma Case Reports in Orthopedics |
| title | Complications following Iliac Wing Fibrosarcoma |
| title_full | Complications following Iliac Wing Fibrosarcoma |
| title_fullStr | Complications following Iliac Wing Fibrosarcoma |
| title_full_unstemmed | Complications following Iliac Wing Fibrosarcoma |
| title_short | Complications following Iliac Wing Fibrosarcoma |
| title_sort | complications following iliac wing fibrosarcoma |
| url | http://dx.doi.org/10.1155/2019/9259571 |
| work_keys_str_mv | AT gstan complicationsfollowingiliacwingfibrosarcoma AT horban complicationsfollowingiliacwingfibrosarcoma AT rdeculescu complicationsfollowingiliacwingfibrosarcoma |