Pelvic Stress Fractures Following Resection and Reconstruction of Pelvis Tumours—An Observational Study.
Published Date: 01st October 2024
Publication Authors: Iyengar. KP
Abstract
Background and Aims: Pelvic bone tumours are rare, with a guarded prognosis despite advances in radiological imaging and surgical techniques. Despite this, limb salvage surgery has become the mainstay treatment for patients presenting with primary bone sarcomas, especially those with low histological grade variants. However, the rate of peri-operative-associated complications remains high in the form of local recurrence and surgical site infections (SSI).
Objective: We highlight our experience from a tertiary referral oncology centre of incidence and clinical and radiological features, as well as discuss the risk factors for developing pelvic stress fractures (PSFs) in patients treated with hemipelvis resection. Materials and Methods: We performed a retrospective search from our radiology and oncology database at our tertiary orthopaedic oncology referral centre for patients referred, diagnosed and managed for stress fractures following an internal hemipelvectomy for pelvic tumours/Sarcoma through the service between 2007 and 2019. Patient demographics, clinical characteristics, complementary imaging, clinical management outcome and peri-operative complications were documented. A focussed evaluation of patients diagnosed and managed for PSFs in patients treated with hemipelvis resection.
Results: We identified a total of six patients with stress fractures following internal hemipelvectomy. The sacrum was the most common anatomical region (n = 3). Other areas identified with insufficiency stress fractures included the ischium and femoral neck.
Conclusion: Stress fractures post pelvis resection and reconstruction is a rare complication. Radiologists and orthopaedic oncology surgeons need to be aware of this complication to aid with an early diagnosis and initiate appropriate
Saad, A; Iyengar, K.P.; Et al. (2025). Pelvic Stress Fractures Following Resection and Reconstruction of Pelvis Tumours—An Observational Study. Apollo Medicine. 22(2), pp.120-125. [Online]. Available at: https://www.doi.org/10.1177/09760016241286220 [Accessed 3 April 2025].