Porous tantalum acetabular cups for reconstructions after peri-acetabular resections of primary bone tumours

Riccardo Zucchini, Andrea Sambri, Claudio Giannini, Michele Fiore, Carlotta Calamelli, Davide Maria Donati, Massimiliano De Paolis

Research output: Contribution to journalArticlepeer-review

Abstract

Introduction: Periacetabular reconstruction after resection of primary bone tumour is a very demanding procedure. They are frequently associated with scarce functional results and a high rate of complications. We report a series of patients with periacetabular resections for primary bone tumours and reconstruction with a porous tantalum (PT) acetabular cup (AC).

Materials and methods: 27 patients (median age 30 years) were included, being affected by primary bone tumours of the pelvis and treated with peri-acetabular resection and reconstruction with a PT AC. The diagnoses were 13 osteosarcomas, 7 chondrosarcomas and 7 Ewing sarcomas. Function was assessed with the Harris Hip Score and complications were classified according to Zeifang.

Results: The median follow-up was 70 months. 1 patient required removal of the PT AC because of implant associated infection 55 months after surgery. There was 1 hip dislocation and no case of aseptic loosening. At final follow-up, the median HHS was 81 points (range 48-92).

Conclusions: The used PT AC had good medium-term survival rates and good functional results. This technique is a viable reconstructive option after resections of periacetabular primary bone sarcomas.
Original languageEnglish
JournalHIP International
DOIs
Publication statusPublished - Apr 8 2021

Keywords

  • Acetabular cup
  • acetabular resection
  • bone tumour
  • pelvis reconstruction
  • tantalum

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