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ISSN 2306-4102 (Print)
Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2011, Number 2

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Acta Ortop Mex 2011; 25 (2)

Complications of oncologic hemipelvectomy

Sánchez-Torres LJ, Santos-Hernández M

Language: Spanish
References: 34
Page: 93-98
PDF size: 692.83 Kb.


ABSTRACT

Introduction: The treatment of bone pelvic tumors is associated with high complication rates. The surgeon usually has to decide between external and internal hemipelvectomy. Objective: To describe the frequency of infectious and wound-related complications in a group of patients undergoing hemipelvectomy for different types of musculoskeletal tumors. Material and methods: This is an observational, descriptive, retrospective study with a single measurement. We observed the complications that occurred in eight patients treated with different modalities of hemipelvectomy without reconstruction. Infectious and wound-related complications were described as follows: a) no complications, b) seroma, c) hematoma, d) mild infectious process, e) moderate infectious process, f) severe infectious process, and g) flap necrosis. Internal hemipelvectomies were classified using Enneking and Dunham’s criteria. Results: Eight patients were assessed. Five patients underwent external hemipelvectomy and three internal hemipelvectomy. Two patients had no complications (25%), three had seromas (37.5%), one patient was treated for a mild infectious process (12.5%) and two for severe infectious processes (25%). 75% of the patients had complications. No cases of flap necrosis were observed. Discussion: The surgeon decides which the best procedure in each case is. Different types of complications of hemipelvectomy have been reported; the most common ones are infectious processes and flap necrosis, and our results are similar to those reported by other authors. Conclusions: Pelvic bone tumors are usually large masses that hinder the achievement of tumor-free surgical margins. There is a high likelihood of postoperative wound complications.


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