Allografts of the hemipelvis after tumour resection. Technical aspects of four cases
Langlais, F.; Vielpeau, C.
Journal of Bone and Joint Surgery. British Volume 71(1): 58-62
1989
ISSN/ISBN: 0301-620X PMID: 2644289 Document Number: 331663
Four en-block resections for malignant tumours of the hip, the peri-acetabular region and the iliac wing were reconstructed using an irradiated hemipelvic allograft together with a total hip prosthesis. Technical aspects include the use of an anterior Enneking approach which excises the previous biopsy site, division and re-attachment of the iliac crest and fixation of the prosthesis using a modified acetabular cup and three polypropylene artifical ligaments to increase the stability of the joint. Weight-bearing was allowed at three months. The oncological and clinical results were satisfactory after a mean follow-up of 19 months, with walking distances of 500 metres of two kilometres without pain.