The swing procedure for pelvic ring reconstruction following tumour excision

R C Pollock, J A Skinner, G W R Blunn, J A S Pringle, T W R Briggs, S R Cannon

Research output: Contribution to journalArticlepeer-review

Abstract

AIM: High grade periacetabular osteosarcomas extending to the sacro-iliac region present a difficult management problem. We describe our experience of the swing procedure as a method of limb salvage.

METHOD: The procedure was performed on three patients with stage II B osteosarcoma.

RESULTS: Functional outcome was poor in all three with a mean Musculoskeletal Tumor Society score of 29% (27-30) at last review. All three developed local recurrence and one developed pulmonary metastases. The mean disease free interval post-operatively was 4.7 months (4-6) and they died of their disease at a mean of 10 months (5-16).

CONCLUSIONS: This form of limb salvage is technically demanding and carries a high morbidity. Functional outcome is poor and the prognosis for this group of patients is not improved by surgery. Alternative treatment options are discussed.

Original languageEnglish
Pages (from-to)59-63
Number of pages5
JournalEuropean Journal of Surgical Oncology
Volume29
Issue number1
DOIs
Publication statusPublished - Feb 2003

Keywords

  • Adolescent
  • Adult
  • Antineoplastic Combined Chemotherapy Protocols
  • Blood Loss, Surgical
  • Bone Neoplasms
  • Disease-Free Survival
  • Female
  • Humans
  • Length of Stay
  • Magnetic Resonance Imaging
  • Male
  • Necrosis
  • Neoplasm Recurrence, Local
  • Neoplasm Staging
  • Osteosarcoma
  • Pelvis
  • Preoperative Care
  • Prosthesis Failure
  • Prosthesis-Related Infections
  • Reconstructive Surgical Procedures
  • Surgical Flaps
  • Tomography, X-Ray Computed
  • Treatment Outcome
  • Evaluation Studies

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