Page 60 - Reconstructive Techniques in Musculoskeletal Tumor Surgery
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Chapter 3
MUTARS attachment tube (implantcast, Buxtehude, Germany) was used to prevent dislocation ( gure 4)21.
Figure 3. Modi ed version of Enneking’s classi cation2 of pelvic resections. Resections of the ilium (type 1) are further subdivided into type 1A (those involving the medial part of the ilium) and type 1B (those con ned to the lateral portion of the iliac wing). The pedestal cup is inserted in the medial part of the ilium, where the cortices have a straight shape and hence provide a good t for the implant.
Figure 4A. Figure 4B. Figure 4C.
Figures 4A-C. Photographs of the surgical procedure of reconstructing the pelvic defect with the pedestal cup showing a) after drilling over the Kirschner wire, the ilium is reamed, b) situation after implantation of the pedestal cup and placement of the polyethylene insert and c) soft-tissue reconstruction with the MUTARS attachment tube.
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