Recently, Li Haomiao, director of the Department of Bone Oncology of the Third Affiliated Hospital of Southern Medical University, completed a hemipelvic defect replacement after tumor resection with a LDK customized tumor prosthesis, and the operation went smoothly.
The patient was diagnosed with a left hip mass in 2007 and underwent “left hip tumor resection + bone grafting” in another hospital. 2010, the mass recurred and he underwent “left hip bone tumor lesion resection + bone cement filling” again, and the postoperative pathology indicated recurrence of chondroblastoma. The hospital suggested the patient to go to oncology specialist hospital for further treatment, but the patient did not pay attention to it.
In recent years, the patient felt increased pain in the left hip, and in November 2021, he was examined by an outside hospital, which indicated “left hip dislocation and ischemic necrosis of the femoral head”, accompanied by morphological and signal changes of the left pelvis and surrounding muscles, ischemic necrosis of the left femoral head and left hip dislocation, and multiple lymph nodes enlargement in the left inguinal region.
For further systematic treatment, the patient underwent “percutaneous lower limb artery embolization and transurethral ureteral stenting” and “pelvic mass resection + left hip arthroplasty + bladder repair” in August 2022, with a fair recovery.
Now, the patient has difficulty in moving again and even turning over. For pelvic reconstruction, the patient came to the Department of Bone Oncology of the Third Affiliated Hospital of Southern Medical University.
Preoperative
After Director Li Haomiao completed the relevant examination, he confirmed the diagnosis of hemipelvic defect after left pelvic tumor resection. The team organized a multidisciplinary consultation, formulated a perfect surgical treatment plan, designed a customized prosthesis with LDK oncology team, and finally carried out the surgery smoothly, and the surgery progressed very well.
Description:
Patient, male, 31 years old
Complaint:
Mobility impairment for more than 7 months after pelvic mass resection.
Specialized examinations:
A 30cm surgical scar was seen on the left hip, with no obvious skin or soft tissue swelling, no rupture or varicose veins, normal sensation in both lower limbs, normal muscle strength in both lower limbs, grade V, normal muscle tone, good peripheral blood flow, normal bilateral knee and Achilles tendon reflexes, negative Hoffmann sign, negative Babinski sign, negative Kernig sign. The affected limb was about 3 cm shorter than the contralateral limb, and the hip joint was severely restricted, but the rest of the joints had good sensory movement.
Auxiliary examinations:
2022-08-19 Pelvic CT: postoperative changes in the left pelvis.
Clinical diagnosis:
1、Hemipelvic defect after left pelvic tumor resection
2、Convalescence following surgery
Intraoperative
Postoperative
Surgeon Introduction
Haomiao LI
Chief of the Department of Bone Oncology, Chief Physician
M.D., Postgraduate Advisor
Dr. in orthopedic surgery from Sun Yat-sen University. He was sponsored by the Ministry of Education of the People’s Republic of China for the “Young Backbone Teacher Training Program Abroad” and studied in Italy as a joint doctoral student. Professor Boriani taught him surgical skills. He has been practicing medicine for more than 20 years and has accumulated rich experience in bone tumor specialty. He has visited many bone tumor centers in Europe, America and Japan, and the largest bone tumor center in China, the Bone and Soft Tissue Tumor Center of Peking University People’s Hospital, to learn from the strengths of various schools of thought. He has published 8 SCI-indexed papers and more than 20 papers in domestic core journals. He was awarded 4 patents for utility models and 1 patent for inventions. He has presided over and participated in 5 national and provincial projects. He was awarded the title of “Yangcheng Good Doctor” in 2017, “Lingnan Famous Doctor” in 2017 and 2020, “Guangzhou Strong Young Doctors” in 2018. He was elected as “Outstanding Young Medical Talents of Guangdong Province” and won the second prize of “Outstanding Young and Middle-aged Paper” in the 20th National Bone Tumor Conference for his paper “Whole Block Resection of Complex Lumbosacral Spine Malignant Tumor”.
Academic Appointments:
Vice Chairman of the Chinese Division of the International Society of Orthopaedics and Traumatology (SICOT) Bone Tumor Society
Standing Committee Member of Bone Tumor and Bone Metastasis Committee of China Anti-Cancer Association
Standing member of the Sarcoma Committee of China Anti-Cancer Association
Vice Chairman of Pelvic Tumor Group, Sarcoma Specialized Committee of China Anti-Cancer Association
Vice Chairman of the Spine Tumor Group of the Sarcoma Specialized Committee of the Chinese Anti-Cancer Association
National Member of the Bone Tumor Group of the Orthopedic Branch of the Chinese Medical Association
Director of Orthopaedic Repair and Reconstruction Committee of Guangdong Primary Medicine Association
Outstanding Young Medical Talents of Guangdong Province
Clinical expertise:
spinal tumors, pelvic tumors, sacral tumors, extremity bone tumors, soft tissue tumors, bone metastases, proficient in limb preservation surgery, pelvic replacement, sacral tumor resection, whole block (En-bloc) resection of spinal tumors. He has high attainment in minimally invasive treatment of primary and metastatic tumors of the spine.
Post time: Apr-17-2023