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[Total or partial iliac reconstruction using allografts from the bone bank]
D Poitout1, G Gaujoux, M Lempidakis
1Service d'Orthopédie-Traumatologie, CHU Nord, Marseille, France.
International Orthopaedics
|January 1, 1990
Summary
Cryopreserved allografts effectively reconstruct massive pelvic defects, preserving limb length and function after tumor resection or trauma. This technique offers a viable alternative to hemipelvectomy, with satisfactory outcomes despite some challenges.
Area of Science:
- Orthopedic Surgery
- Oncology
- Trauma Surgery
Context:
- Massive pelvic defects pose significant reconstruction challenges.
- Traditional methods like hemipelvectomy lead to limb shortening and functional impairment.
Purpose:
- To evaluate the use of cryopreserved allografts for reconstructing massive pelvic defects.
- To assess the functional outcomes and complications associated with allograft use.
Summary:
- Cryopreserved allografts were used to restore pelvic anatomy, avoiding major resections and limb shortening.
- The procedure involved meticulous tumor resection, allograft incorporation, and in some cases, hip joint replacement.
- Good muscle reattachment and skin healing were observed; nerve root resection was necessary in two cases with satisfactory limb function.
Impact:
- Allograft reconstruction successfully restored pelvic anatomy and function in most patients.
- Potential complications include partial allograft necrosis and demineralization, though functional impact was minimal.
- This method provides a valuable alternative for managing complex pelvic defects, improving patient outcomes.