[Resection of pelvic sarcomas. Reconstruction techniques without use of endoprostheses]

Advances in preoperative imaging techniques and surgical expertise now permit limb sparing resections of pelvic sarcomas to be performed in appropriate patients with an acceptable risk of local recurrence. Reconstruction of the skeletal defect remains, however, problematic. Many techniques have been employed, all with advantages and disadvantages. Arthrodesis for the unstable pelvis has been our preferred reconstructive procedure. When successful, we find this a durable and pain-free reconstruction for the young, active patient.