Acetabular reconstruction after tumor resection.docVIP

 PAGE \* MERGEFORMAT 19 Acetabular reconstruction after tumor resection Keywords: acetabular tumor resection Acetabular reconstruction after tumor resection is still a major challenge in orthopedic, there is much controversy. At present a lot of reconstruction after tumor resection, each approach has certain advantages and disadvantages. Exclusion surgery and joint fusion in the treatment of wounds caused by a relatively small, but poor post-operative function. Prosthesis in restoring the anatomical continuity of the pelvic ring and hip joint function has obvious advantages, but there is the problem of insufficient long-term stability. As technology advances, the new prosthesis can provide greater mechanical stability, better mechanical properties and greater biological focus on the anchor, pelvic reconstruction is expected to achieve better results. In this paper, the exclusion surgery, joint fusion, artificial semi-replacement surgery and other pelvic prosthetic reconstruction and its treatment in a number of issues are reviewed. Peri-acetabular tumors include a variety of primary malignant tumors, metastatic carcinoma and invasive benign tumor of strong, such as giant cell tumor, surgical resection is the main treatment of pelvic tumors. Due to advances in surgical techniques, and now the former has been able to conduct extensive or radical surgical excision of the latter two wide-ranging and critical nature of resection and curettage [1]. Extensive resection of pelvic tumors usually result in a larger bone defects, so that interrupt the continuity of the pelvis and the loss of some of the surrounding soft tissue defect of the need for pelvic reconstruction. Surgeon experience, patient’s condition allows reconstruction of the different methods vary, there is no sufficient evidence that the best kind of reconstruction method. Reconstruction methods commonly used exclusion surgery, hip transposition, bone fusion, the structural allog