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Complications following Iliac Wing Fibrosarcoma
G Stan1,2, H Orban1,2, R Deculescu2
1UMF Carol Davila, Bucharest, Romania.
Case Reports in Orthopedics
|December 31, 2019
Summary
This case report highlights successful surgical management of bone fibrosarcoma complications. A pelvic resection and allograft reconstruction, despite initial infection, provided long-term support for hip arthroplasty.
Area of Science:
- Orthopedic Surgery
- Oncology
- Reconstructive Surgery
Background:
- A young male patient diagnosed with pelvic bone fibrosarcoma underwent radical tumor resection.
- Reconstruction was performed using a massive frozen iliac bone allograft fixed with screws.
Observation:
- The patient experienced immediate postoperative local sepsis at the reconstructed site.
- The infection was successfully treated with pediculate omentoplasty, preserving the allograft.
Findings:
- Radiographic evaluation at 1 year showed successful allograft integration.
- After 20 years, the patient developed left hip arthritis, necessitating total hip arthroplasty, with no signs of tumor recurrence.
Implications:
- This case demonstrates the efficacy of pediculate omentoplasty in managing post-reconstructive infections.
- Massive bone allografts can provide durable structural support for decades, even after complications.
- Successful long-term outcomes are achievable with combined surgical strategies for complex bone tumors.
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