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ORTHOPAEDICS, TRAUMATOLOGY and PROSTHETICS
Article . 2023 . Peer-reviewed
License: CC BY
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SURGICAL PROCEDURE FOR PELVIC PERIACETABULAR BONE TUMOR DEFECTS

Authors: Oleg Vyrva; Roman Malyk; Yanina Golovina;

SURGICAL PROCEDURE FOR PELVIC PERIACETABULAR BONE TUMOR DEFECTS

Abstract

Pelvic bone tumor and traumatic injuries are causes to a numeric of diagnostic, treatment and subsequent obtaining of positive functionalresults problems, which significantly affects the patientʼs quality of life. The most prognostically difficult are acetabulum areas defects. Its adequate restoration affects the further walking function. Goal. To develop a surgical reconstruction of the periacetabular tumor resection defects. Methods. A new surgical reconstruction procedure of the pelvic periacetabular defects were developed and submitted. It consists in using of artificial material polyethyleneterephthalate («Attachment tube») replacing, which is pre-filled with bone allograft and sutures transosseously fixed to the pubic bone or to the pubic/ischial bones. Another «Attachment tube» fragment is used to fix the femur head to the indicated allograft implant. The strength and bioactive characteristics of the «Attachment tube» in combination with bone allograft make it possible to obtain the equivalent of the acetabulum and restorethe full weight bearing and walking function with a certain range of motion in the restored acetabulum area. Results. The proposed method was clinically tested on 9 patients with evaluated follow up. Satisfactory functional results were obtained: (52.6 ± 20.0) % on the MSTS scale. Complications were analyzed. Conclusions. The use of novel surgical procedure for pelvic periacetabular bone tumor defects has a number of advantages over the existing ones.The biological materials using, restoration of anatomical relations in the «hip joint» makes it possible to restore the lower limb function with a good range of motion. The obtained results prove authorʼs method using can give acceptable results in the treatment of periacetabulum tumor leasions patients.

Keywords

Пухлини ацетабулярної западини, allograft, реконструкція, кісткова алопластика, reconstruction, polyethyleneterephthalate, поліетилентерефталат, surgical treatment, Хірургічне лікування, Periacetabular bone tumors

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
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