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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