|
KMID : 0613320030090010115
|
|
Journal of the Korean Bone and Joint Tumor Soceity
2003 Volume.9 No. 1 p.115 ~ p.123
|
|
|
Recycling Bone Autotransplantation with Extracorporeal Heat-Treatment for Malignant Bone Tumors of Pelvis
|
|
Kim Se-Hun
Lee Sang-Hoon
Cho Hwan-Seong
Kim Han-Soo
|
|
|
Abstract
|
|
|
study design : A retrospective clinical and radiographic review.
Objectives : The purpose of this study was to suggest recycling bone autotransplantation with extracorporeal heat-treatment as one of favorable reconstruction method for malignant bone tumors of pelvis reconstruction.
Cases : Case1-A 20-year-old women had chief complaint of right hip and thigh pain started 3 months age and done curettage and bone cementing at right ilium at other hospital. She had impression of malignant bone tumor and undergone postoperative radiation therapy for 6 cycles. After that she was referred to our hospital and undergone wide excision of right ilium and recycling bone autotransplantation with extracorporeal heat-treatment at 132 degree celsius for 2 minutes internal fixation with pelvic reconstruction plate and total hip replacement arthroplasty (ABG). There was no evidence of distant metastasis and revealed well-differentiated osteosarcoma on postoperative pathology. Neither adjuvant nor neoadjuvant chemotherapy were done. Case-2-A 56-year-old women who suffered right thigh pain for 3 month was detected radiologic abnormality at right pelvis. After incisional biopsy, osteosarcoma was diagnosed. We had undergone wide excision of right ilium and recycling bone autotransplantation with extracorporeal low heat-treatment at 65 degree celsius for 30 minutes internal fixation with pelvic reconstruction plate and total hip replacement arthroplaty(ABG). There was no evidence of distant metastasis and revealed high-grade osteosarcoma which was fibroblastic type on postoperative pathology. Adjuvant chemotherapy(HDMTX, AD, CDDP) was done immediate after wound healing was completed. Case 3-A 46-year-old women was incidently found mass at left ilium which was suspected chondrosarcoma. We had undergone wide excision of left ilium and recycling bone autotransplantation with extracorporeal low heat-treatment at 65 degree celsius for 30 minutes internal fixation with pelvic reconstruction plate and hip replacement arthroplasty(Protek). There was no evidence of distant metastasis and revealed chondrosarcoma which was grade Ⅱ/Ⅲ on postoperative pathology.
Results : Oncologic and functional outcome at final follow-up were for case 1, final follow-up time was 7 years, is no evidence of disease and functional score is 53% according to Enneking et al. During follow-up, evidence of radiologic union was at about 1 and 6 months after operation. The case of had breakage of pelvic reconstruction plate and some resorption of autotransplantation boen, but symptom present. For case 2, final follow-up was 3 years and 6 months, is no evidence of disease and functional score is 60%. For case 3, final follow-up was 7 months, no evidence of disease and functional score is 63% which is improving state.
Discussion:3 cases which were undergone recycling bone autotransplantation with extracorporeal heat-treatment and total hip replacement arthroplasty had relatively successful oncologic and functional outcome. Taking account that difficulty in using allograft in Korea this method is thought to be one of the useful way to reconstruct pelvis after resection of primary malignant bone tumor of the pelvis.
|
|
|
KEYWORD
|
|
|
Pelvis, Osteosarcoma, Chondrosarcoma, Total hip replacement arthroplasty, Recycling bone autotransplantation with extracorporeal heat-treatment
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
|
|