Reconstruction after resection of pelvic tumours is a major challenge. We report the outcomes and complications of 7 patients who underwent limb salvage following type II or type II, III pelvic resection and reconstruction using a saddle prosthesis or custom-made hemipelvic prosthesis. In our opinion, reconstruction using custom-made prostheses is better than placement of saddle prostheses because of a lower risk of complications and improved functional outcomes.
JansenJAvan de SandeMADijkstraPDPoor long-term clinical results of saddle prosthesis after resection of periacetabular tumors.Clin Orthop Relat Res2013;471(1):324–331
2.
MalawerMPeriacetabular resections. In: Malawer M, Sugarbaker P, eds. Musculoskeletal Cancer Surgery: Treatment of Sarcomas and Allied Diseases. 1st ed.New York, PAKluwer Academic Pub 2001;423-436.
3.
EnnekingWFDunhamWKResection and reconstruction for primary neoplasms involving the innominate bone.J Bone Joint Surg Am1978;60(6):731–746
4.
EnnekingWFDunhamWGebhardtMCMalawarMPritchardDJA system for the functional evaluation of reconstructive procedures after surgical treatment of tumors of the musculoskeletal system.Clin Orthop Relat Res1993286:241–246
5.
AboulafiaAJBuchRMathewsJLiWMalawerMMReconstruction using the saddle prosthesis following excision of primary and metastatic periacetabular tumors.Clin Orthop Relat Res1995314:203–213
6.
KitagawaYEkETChoongPFPelvic reconstruction using saddle prosthesis following limb salvage operation for periacetabular tumour.J Orthop Surg (Hong Kong)2006;14(2):155–162
7.
NiederEKellerAThe Saddle Prosthesis Mark II, Endo-Modell®. In: Yamamuro T, ed. New Developments for Limb Salvage in Musculoskeletal Tumours. 1st ed.Tokyo, PASpringer Verlag 1989; 481-490.
8.
NiederEElsonRAEngelbrechtEKasseltMRKellerASteinbrinkKThe saddle prosthesis for salvage of the destroyed acetabulum.J Bone Joint Surg Br1990;72(6):1014–1022
9.
de MeulemeesterFRTaminiauAHSaddle prosthesis after resection of a para-acetabular chondrosarcoma.A case report. Acta Orthop Scand1989;60(3):363–364
10.
Van Der LeiBHoekstraHJVethRPHamSJOldhoffJKoopsHSThe use of the saddle prosthesis for reconstruction of the hip joint after tumor resection of the pelvis.J Surg Oncol1992;50(4):216–219
11.
RenardAJVethRPSchreuderHWet al.The saddle prosthesis in pelvic primary and secondary musculoskeletal tumors: functional results at several postoperative intervals.Arch Orthop Trauma Surg2000;1203-4:188–194
12.
AljassirFBeadelGPTurcotteREet al.Outcome after pelvic sarcoma resection reconstructed with saddle prosthesis.Clin Orthop Relat Res2005;438:36–41
13.
BeneveniaJCyranFPBiermannJSPattersonFRLeesonMCTreatment of advanced metastatic lesions of the acetabulum using the saddle prosthesis.Clin Orthop Relat Res2004;426:23–31
14.
CottiasPJeanrotCVinhTSTomenoBAnractPComplications and functional evaluation of 17 saddle prostheses for resection of periacetabular tumors.J Surg Oncol2001;78(2):90–100
15.
NatarajanMVBoseJCMazhavanVRajagopalTSSelvamKThe Saddle prosthesis in periacetabular tumours.Int Orthop2001;25(2):107–109
16.
FalkinsteinYAhlmannERMenendezLRReconstruction of type II pelvic resection with a new peri-acetabular reconstruction endoprosthesis.J Bone Joint Surg Br2008;90-B(3):371–376
17.
MenendezLRAhlmannERFalkinsteinYAllisonDCPeriacetabular reconstruction with a new endoprosthesis.Clin Orthop Relat Res2009;467(11):2831–2837
18.
DonatiDD'ApoteGBoschiMCevolaniLBenedettiMGClinical and functional outcomes of the saddle prosthesis.J Orthop Traumatol2012;13(2):79–88
19.
SunWLiJLiQLiGCaiZClinical effectiveness of hemipelvic reconstruction using computer-aided custom-made prostheses after resection of malignant pelvic tumors.J Arthroplasty2011;26(8):1508–1513
20.
AbuduAGrimerRJCannonSRCarterSRSneathRSReconstruction of the hemipelvis after the excision of malignant tumours.Complications and functional outcome of prostheses. J Bone Joint Surg Br1997;79(5):773–779
21.
OzakiTHoffmannCHillmannAGoshegerGLindnerNWinkelmannWImplantation of hemipelvic prosthesis after resection of sarcoma.Clin Orthop Relat Res2002;396:197–205
