Flail hip joint following periacetabular tumor resection of the pelvis using upper surface of the femoral neck as a saddle: A case report

Takami,Masatsugu; Ieguchi,Makoto; Aono,Masanari; Hoshi,Manabu; Takada,Jun; Oebisu,Naoto; Iwai,Tadashi

doi:10.3892/ol.2015.3756

Flail hip joint following periacetabular tumor resection of the pelvis using upper surface of the femoral neck as a saddle: A case report

Authors:
- Masatsugu Takami
- Makoto Ieguchi
- Masanari Aono
- Manabu Hoshi
- Jun Takada
- Naoto Oebisu
- Tadashi Iwai
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Affiliations: Department of Orthopedic Surgery, Hanwa Sumiyoshi General Hospital, Osaka 558‑0041, Japan, Department of Orthopedic Surgery, Osaka City Graduate School of Medicine, Osaka 545‑0051, Japan, Department of Orthopedic Surgery, Osaka City General Hospital, Osaka 534‑0021, Japan
Published online on: September 29, 2015 https://doi.org/10.3892/ol.2015.3756
Pages: 3529-3531

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Abstract

Reconstruction following periacetabular tumor resection of the pelvis is one of the most challenging issues in limb salvage surgery. An ideal procedure has still not been established. There are several reconstruction methods available, including arthrodesis, pseudoarthrosis, resection arthroplasty, prosthetic arthroplasty, saddle prosthesis, allograft and hip transposition. In our hospital, we have been using a flail hip joint procedure without reconstruction. Herein, we report good extremity function following a flail hip joint procedure which used the upper surface of the femoral neck as a saddle facing the remaining ilium. To the best of our knowledge, among the reported flail hip joint cases, this procedure has never been used. The patient is able to walk without any pain for several hundred meters with a shoe lift but without a cane, as observed at a 20‑year follow‑up. The authors consider that the flail hip joint using the upper surface of the femoral neck as a saddle is a simple and effective method.

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