Complications Of PI To PIII Hemipelvic Resections For Intermediate And Malignant Tumours

Description

In this episode of AI Talks with Bone & Joint, Simon and Amy discuss a 2026 paper by M A Smolle and colleagues on complications following PI to PIII hemipelvic resections for intermediate and malignant tumours. The conversation reviews a systematic PRISMA-based literature search that included 90 studies and 2,199 patients, with a mean age of 39.3 years, and highlights the most common reconstruction methods, including custom-made implants and ice cream cone prostheses. The hosts explain that infections and wound healing problems were the most frequent complications, followed by nerve injuries, deep vein thrombosis, and other neurovascular issues. They also compare reconstruction types, noting that biological reconstructions were linked to more nerve injuries, construct failures, and revision or removal than mega-prosthetic reconstructions. The discussion points out improved outcomes in studies published after 2015, with lower infection and revision rates, suggesting advances in surgical technique and implant design. The episode concludes by emphasizing the ongoing complexity of pelvic oncology surgery and the importance of continued refinement to reduce complications and improve patient outcomes.

Specialties

Paper Links

https://boneandjoint.org.uk/Article/10.1302/2633-1462.76.BJO-2026-0037.R1