Reconstructive surgery for locally advanced malignant tumors periacetabular region

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Abstract

The article presents the history of development and improvement of various methods of surgical treatment of patients with tumor lesions of the pelvic bones, as well as modern types of operations in this category of patients. Based on the analysis of literature data of domestic and foreign sources are considered possible complications and their causes, summarizes the surgical and oncologic results of the most relevant studies devoted to this subject.

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About the authors

Nikolaii V. Zagorodnii

N.N. Priorov National Medical Research Center of Traumatology and Orthopaedics

Email: cito@cito-priorov.ru

MD, PhD, Professor, Head of the division of endoprosthetics

Russian Federation, Moscow

Vadim Y. Karpenko

N.N. Priorov National Medical Research Center of Traumatology and Orthopaedics

Email: doctor-kv@yandex.ru

MD, PhD, Head of the division of bone pathology

Russian Federation, Moscow

Anatolii L. Karasev

N.N. Priorov National Medical Research Center of Traumatology and Orthopaedics

Email: karaseva81@mail.ru

oncologist

Russian Federation, Moscow

Aleksandr S. Zelyanin

I.M. Sechenov First Moscow State Medical University (Sechenov University) of the Ministry of Heathcare of the Russia Federation

Email: microsurgery@inbox.ru

MD, PhD, Professor at the department of plastic surgery

Russian Federation, Moscow

Ivan S. Lysenko

N.N. Priorov National Medical Research Center of Traumatology and Orthopaedics

Author for correspondence.
Email: ilysenko761@gmail.com
ORCID iD: 0000-0003-1434-6742

resident

Russian Federation, Moscow

Georgii D. Iluridze

N.N. Priorov National Medical Research Center of Traumatology and Orthopaedics

Email: iluridze01@gmail.com
ORCID iD: 0000-0001-7847-4861

oncologist

Russian Federation, Moscow

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Supplementary files

Supplementary Files
Action
1. Fig. 1. Roentgenogram of the pelvic bones, the reconstruction was performed using a combination of titanium rods, bone cement and hip endoprosthesis [39]

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2. Fig. 2. Reconstruction of the acetabulum using arthrodesis of the proximal femur with the ilium: a — scheme of operation; b — roentgenogram of the pelvis with ilio-femoral extramedullary metal osteosynthesis the plate and arthrodesis [19]

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3. Fig. 3. Roentgenogram of the pelvic bones after reconstruction of the supraacetabular region with allograft with a fragment of the acetabulum, bone cement, rods and endoprosthesis [17]

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4. Fig. 4. Roentgenogram of the pelvic bones after surgical treatment. The femur fragment was moved to the resection zone together with the hip endoprosthesis. Fixation was carried out with metal osteosynthesis [25]

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5. Fig. 5. Periacetabular reconstruction using a “saddle” endoprosthesis: a — the appearance of periacetabular endoprosthesis; b — postoperative roentgenogram of the pelvic bones. The metal implant is fixed to the resected wing of the ilium [33]

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6. Fig. 6. Postoperative roentgenogram of the pelvic bones: a — the tapered stem is implanted in the remaining part of the ileum after the removal of the tumor ileum; b — tapered stem is implanted into the pelvis after removal of half of the pelvis with the tumor

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7. Fig. 7. Transposition of the femur with the formation of neoarthrosis; a — scheme of operation; b — postoperative roentgenogram of the pelvic bones. Femur bone with hip endoprosthesis using biosynthetic cuff fixed to sacroiliac joint

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