The Journal of Bone and Joint Surgery, Vol 60, Issue 6 719-730, Copyright © 1978 by Journal of Bone and Joint Surgery, Inc
Partial or complete resection of the hemipelvis. An alternative to hindquarter amputation for periacetabular chondrosarcoma of the pelvis
HH Steel
After excision of the hemipelvis through a combined subnatal and anterior
incision preserving the lower extremity, five patients with periacetabular
chondrosarcoma, after a follow-up of three to six years, were able to walk
with no support or with minimum lateral support and had resumed their
preoperative occupations. None had either the instability that might have
been anticipated or incapacitating discomfort from the neoarthrosis, and
there was no evidence of spread or recurrence of tumor in any of the five
patients. The procedure, which has the same basic indications as a
hindquarter amputation, is a rewarding substitute for that mutilating
operation, although the follow-up is too short and the series is too small
to warrant conclusions as to the cure rate.