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Case Report


DOI :10.18017/iuitfd.330111   IUP :10.18017/iuitfd.330111    Full Text (PDF)

PERIACETABULAR EWING’S SARCOMA: A CASE REPORT OF SURGICAL TECHNIQUE AND RECONSTRUCTION WITH LUMIC ACETABULAR IMPLANT

Ahmet Salduz, Mehmet Demirel, Koray Şahin, İbrahim Levent Eralp

Reconstruction of periacetabular defects following pelvic tumor resection is a demanding procedure in orthopaedic surgical oncology. Conventional reconstruction procedures may have dissatisfying mechanical and functional results. More recently developed, Lumic acetabular implant (Implantcast, Buxtehude, Germany) has been used for acetabular reconstruction after type 2 pelvic resection. We aimed to present a 28-year-old female patient who underwent a reconstruction surgery with a Lumic acetabular implant following a type-II pelvic resection due to periacetabular Ewing’s sarcoma. Another important feature of the patient is that the surgery was performed without trochanteric osteotomy. Therefore in the early postoperative period and the second postoperative year, the patient was capable for active hip abduction with a good fonctional score according to Musculoskeletal Tumor Society Rating Scale. In conclusion, satisfactory functional and radiological results can be obtained with Lumic® acetabular implant. It is also shown that type 2 resection can be achieved without trochanteric osteotomy. 

Keywords: Ewing sarcoma, periacetabular reconstruction, hip, Lumic
DOI :10.18017/iuitfd.330111   IUP :10.18017/iuitfd.330111    Full Text (PDF)

PERİASETABULER EWİNG SARKOMU OLGU SUNUMU: CERRAHİ TEKNİK VE LUMIC ASETABULAR İMPLANT İLE REKONSTRÜKSİYON

Ahmet Salduz, Mehmet Demirel, Koray Şahin, İbrahim Levent Eralp

Pelvik tümörlerin rezeksiyonu sonrası meydana gelen periasetabuler defektlerin rekonstrüksiyonu ortopedik onkolojik cerrahide oldukça zorlu bir durumdur. Geleneksel rekonstrüksiyon yöntemleri mekanik ve fonksiyonel açıdan yetersiz kalabilmektedir. LUMIC® (Implantcast, Buxtehude, Germany) asetabuler implant, pelvik rezeksiyon sonrası rekonstrüksiyonda iyi sonuçların elde edildiği bir implant olarak kullanılmaktadır. Bu olgu sunumunda, 28 yaşında periasetabuler Ewing sarkomu sebebiyle tip-II pelvik rezeksiyon ve Lumic asetabular implant ile rekonstrüksiyon uygulanmış bir kadın hastanın klinik ve fonksiyonel sonuçları sunulmaya çalışıldı. Bu olgunun diğer bir özelliği ise tip 2 asetabuler rezeksiyonun trokanterik osteotomi yapılmadan gerçekleştirilmiş olmasıydı. Bu sebeple erken postop dönemde ve takiplerinde (2. yıl) aktif kalça abduksiyonu korunabildi ve Musculoskeletal Tumor Society fonksiyonel değerlendirme skalasına göre iyi kalça fonksiyonu elde edilebildi. Sonuç olarak LUMIC® acetabuler implant ile memnun edici klinik ve radyolojik sonuçlar elde etmek mümkündür. Tip 2 asetabuler rezeksiyon vakadan vakaya değişebilmekle birlikte trokanterik osteotomi yapmadan uygulanabilir olduğu gösterilmiştir.

Keywords: Ewing sarkomu, periasetabuler rekonstrüksiyon, kalça, Lumic

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References

  • 1. Grimer R, et al., Hindquarter amputation. Bone Joint J 2013;95(1):127-31. google scholar
  • 2. Angelini A, et al., Infection after surgical resection for pelvic bone tumors: an analysis of 270 patients from one institution. Clin Orthop Relat Res 2014;472(1):349-59. google scholar
  • 3. Bus M, et al., Clinical outcome of pedestal cup endoprosthetic reconstruction after resection of a peri-acetabular tumour. Bone Joint J 2014;96(12):1706-12. google scholar
  • 4. Bus MP, et al., LUMIC® Endoprosthetic reconstruction after periacetabular tumor resection: Short-term results. Clin Orthop Relat Res 2017;475(3):686-95. google scholar
  • 5. Guzik G, The use of LUMIC prosthesis for the treatment of periacetabular metastases. Ortopedia, traumatologia, rehabilitacja 2015;17(6): 593-602. google scholar
  • 6. Dominkus M, Darwish E, Funovics P, Reconstruction of the pelvis after resection of malignant bone tumours in children and adolescents, in Treatment of Bone and Soft Tissue Sarcomas, Springer-Verlag, Berlin Heidelberg 2009; 85-111. DOI: 10.1007/978-3-540-77960-5 google scholar
  • 7. Bell RS, et al., Allograft reconstruction of the acetabulum after resection of stage-IIB sarcoma. Intermediate-term results. J Bone Joint Surg Am 1997;79(11): 1663-74. google scholar
  • 8. Menendez LR, et al., Periacetabular reconstruction with a new endoprosthesis. Clin Orthop Relat Res 2009; 467(11): 2831-7. google scholar
  • 9. Witte D, et al., Limb-salvage reconstruction with MUTARS® hemipelvic endoprosthesis: a prospective multicenter study. Eur J Surg Oncol 2009; 35(12): 1318-25. google scholar
  • 10. Jaiswal P, et al., Peri-acetabular resection and endoprosthetic reconstruction for tumours of the acetabulum. Bone Joint J 2008;90(9): 1222-7. google scholar
  • 11. Fisher N, et al., Ice-cream cone reconstruction of the pelvis: a new type of pelvic replacement. J Bone Joint Surg Br 2011;93(5): 684-8. google scholar
  • 12. Van Dam MS, et al., Measuring physical activity in patients after surgery for a malignant tumour in the leg. Bone Joint J 2001;83(7):1015-9. google scholar

Citations

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APA

Salduz, A., Demirel, M., Şahin, K., & Eralp, İ.L. (2017). PERIACETABULAR EWING’S SARCOMA: A CASE REPORT OF SURGICAL TECHNIQUE AND RECONSTRUCTION WITH LUMIC ACETABULAR IMPLANT. Journal of Istanbul Faculty of Medicine, 80(2), 86-89. https://doi.org/10.18017/iuitfd.330111


AMA

Salduz A, Demirel M, Şahin K, Eralp İ L. PERIACETABULAR EWING’S SARCOMA: A CASE REPORT OF SURGICAL TECHNIQUE AND RECONSTRUCTION WITH LUMIC ACETABULAR IMPLANT. Journal of Istanbul Faculty of Medicine. 2017;80(2):86-89. https://doi.org/10.18017/iuitfd.330111


ABNT

Salduz, A.; Demirel, M.; Şahin, K.; Eralp, İ.L. PERIACETABULAR EWING’S SARCOMA: A CASE REPORT OF SURGICAL TECHNIQUE AND RECONSTRUCTION WITH LUMIC ACETABULAR IMPLANT. Journal of Istanbul Faculty of Medicine, [Publisher Location], v. 80, n. 2, p. 86-89, 2017.


Chicago: Author-Date Style

Salduz, Ahmet, and Mehmet Demirel and Koray Şahin and İbrahim Levent Eralp. 2017. “PERIACETABULAR EWING’S SARCOMA: A CASE REPORT OF SURGICAL TECHNIQUE AND RECONSTRUCTION WITH LUMIC ACETABULAR IMPLANT.” Journal of Istanbul Faculty of Medicine 80, no. 2: 86-89. https://doi.org/10.18017/iuitfd.330111


Chicago: Humanities Style

Salduz, Ahmet, and Mehmet Demirel and Koray Şahin and İbrahim Levent Eralp. “PERIACETABULAR EWING’S SARCOMA: A CASE REPORT OF SURGICAL TECHNIQUE AND RECONSTRUCTION WITH LUMIC ACETABULAR IMPLANT.” Journal of Istanbul Faculty of Medicine 80, no. 2 (Oct. 2024): 86-89. https://doi.org/10.18017/iuitfd.330111


Harvard: Australian Style

Salduz, A & Demirel, M & Şahin, K & Eralp, İL 2017, 'PERIACETABULAR EWING’S SARCOMA: A CASE REPORT OF SURGICAL TECHNIQUE AND RECONSTRUCTION WITH LUMIC ACETABULAR IMPLANT', Journal of Istanbul Faculty of Medicine, vol. 80, no. 2, pp. 86-89, viewed 20 Oct. 2024, https://doi.org/10.18017/iuitfd.330111


Harvard: Author-Date Style

Salduz, A. and Demirel, M. and Şahin, K. and Eralp, İ.L. (2017) ‘PERIACETABULAR EWING’S SARCOMA: A CASE REPORT OF SURGICAL TECHNIQUE AND RECONSTRUCTION WITH LUMIC ACETABULAR IMPLANT’, Journal of Istanbul Faculty of Medicine, 80(2), pp. 86-89. https://doi.org/10.18017/iuitfd.330111 (20 Oct. 2024).


MLA

Salduz, Ahmet, and Mehmet Demirel and Koray Şahin and İbrahim Levent Eralp. “PERIACETABULAR EWING’S SARCOMA: A CASE REPORT OF SURGICAL TECHNIQUE AND RECONSTRUCTION WITH LUMIC ACETABULAR IMPLANT.” Journal of Istanbul Faculty of Medicine, vol. 80, no. 2, 2017, pp. 86-89. [Database Container], https://doi.org/10.18017/iuitfd.330111


Vancouver

Salduz A, Demirel M, Şahin K, Eralp İL. PERIACETABULAR EWING’S SARCOMA: A CASE REPORT OF SURGICAL TECHNIQUE AND RECONSTRUCTION WITH LUMIC ACETABULAR IMPLANT. Journal of Istanbul Faculty of Medicine [Internet]. 20 Oct. 2024 [cited 20 Oct. 2024];80(2):86-89. Available from: https://doi.org/10.18017/iuitfd.330111 doi: 10.18017/iuitfd.330111


ISNAD

Salduz, Ahmet - Demirel, Mehmet - Şahin, Koray - Eralp, İbrahimLevent. “PERIACETABULAR EWING’S SARCOMA: A CASE REPORT OF SURGICAL TECHNIQUE AND RECONSTRUCTION WITH LUMIC ACETABULAR IMPLANT”. Journal of Istanbul Faculty of Medicine 80/2 (Oct. 2024): 86-89. https://doi.org/10.18017/iuitfd.330111



TIMELINE


Submitted14.01.2017
Accepted01.04.2017
Published Online30.06.2017

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