Reconstruction of pelvic ring, using the metal polymer еndoprosthesis after radical internal resection of pelvis

Abstract

Objective. Investigation of the treatment results and quality of life in the patients, suffering pelvic bones tumors after radical surgical interventions. Маterials and methods. Results of treatment of 28 patients after organ-preserving operations and of 26 patients after interventions with the lower extremity excision were analyzed. Results. Median index of the lower extremity function in accordance to the MTS scale after resection have constituted (61.06 ± 15.83)%. The quality of life indices in accordance to FIM questionnaire in the patients after organ-preserving operations - (110.85 ± 13.49) points and the extremity amputation - (106.73 ± 11.97) points did not differ essentially (р = 0.12 in accordance to Mann-Whitney). The pain syndrome degree in accordance to visual-analogue scale in the patients after organ-preserving operations was estimated at average in (1.82 ± 1.56) points, after the extremity amputation - at average in (1.42 ± 0.58) points, what did not differ essentially (р = 0.6 in accordance to Mann-Whitney). The implants survival in 1 mo have constituted (60.7 ± 9.2)%, in one year - (53.6 ± 9.2)%. Conclusion. The pelvic ring reconstruction, using metal polymer construction constitutes a secure method. It is possible to improve the quality of life after performance of internal resection of pelvic bones with the extremity preservation, using individualization of the patients selection for performance of such interventions.

Keywords

• resection of pelvic bones; quality of life; complications.