Morbidity and mortality associated with tumour-related hindquarter amputation: a review of 23 cases

Sharifudin, Mohd Ariff and Wan Ismail, Wan Faisham Numan and Wan, Zulmi and Mat Zin, Nor Azman and Mohamed Amin, Mohamed Azril and Goh, Kian Liang (2014) Morbidity and mortality associated with tumour-related hindquarter amputation: a review of 23 cases. In: International Health Conference IIUM 2014, 3-4 Dec 2014, Kuantan, Pahang.

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Abstract

Background: Hindquarter amputation, the removal of the entire lower limb along with the ipsilateral pelvic bone, is reserved for malignant or aggressive tumours located in the proximal lower extremity. With the advancement in limb salvage surgery (LSS), it is reserved for palliative surgery or when LSS is contraindicated. This report aims to review the morbidity and mortality associated with this procedure in the treatment of pelvic bone and soft tissue tumours. Methodology: Patients with bone or soft tissue tumour involving the pelvis who underwent hindquarter amputation at any point in their clinical course between year 2000 and 2010 were reviewed. Patients were recruited from a single oncology referral institution. Results: Twenty-three patients were included in this review, consisted of 17 males and 6 females with mean age of 40.1 (range 8 to 79 years old). Ten patients underwent surgery for palliation. Classical type of pelvic resection was performed on 11 patients while others were subjected for modified (6), extended (5) and compound (1) type. Commonest underlying pathology was pelvic osteosarcoma (5 patients). Majority of wounds (47.8%) were primarily closed with posterior myocutaneous flap. There was one perioperative death due to sepsis with lung complications. The average follow-up was 13 months (range 2 to 109 months). Eight patients were still alive on their last follow-up, 9 died due to advanced stage of disease, while 3 died of other causes. Commonest complications observed were wound-related. All patients had poor functional outcome on their recent follow-up. Conclusion: Hindquarter amputation remains an important option with considerable morbidity and is indicated for only minority of far-advanced tumours. It offers a chance of palliation and possibly cure when lesser surgical options have been exhausted.

Item Type:	Conference or Workshop Item (Slide Presentation)
Additional Information:	5770/39542
Uncontrolled Keywords:	Hemipelvectomy, hindquarter amputation, complications, pelvic tumour
Subjects:	R Medicine > RC Internal medicine > RC254 Neoplasms. Tumors. Oncology (including Cancer) R Medicine > RD Surgery > RD701 Orthopedics R Medicine > RD Surgery > RD92 Wounds and injuries
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Medicine Kulliyyah of Medicine > Department of Department of Orthopaedics, Traumatology & Rehabilitation
Depositing User:	DR MOHD ARIFF SHARIFUDIN
Date Deposited:	05 Dec 2014 19:10
Last Modified:	20 Dec 2018 08:22
URI:	http://irep.iium.edu.my/id/eprint/39542

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