COLUMBUS, Ohio In a rare and medically remarkable operation, a multi-disciplinary team of surgeons at the Ohio State University Comprehensive Cancer Center Arthur G. James Cancer Hospital and Richard J. Solove Research Institute (OSUCCC James) removed the left leg, hip and pelvis of a cancer patient, and used the healthy, living bones from his amputated leg to completely rebuild the connection between his spine and remaining right pelvis to support a high-tech prosthetic leg.
"This procedure itself is actually the first time it's ever been performed in the United States," says Dr. Joel Mayerson, an orthopedic oncologist who collaborated with a surgical team that included Dr. Ehud Mendel, a spine neurosurgeon, and Dr. Michael Miller, a plastic surgeon, on the complex case.
The pelvic reconstruction surgery was so unusual that the surgical team submitted it as a case study to the Journal of Neurosurgery: Spine, which recently published it online.
In addition, the case was voted the "Reconstructive Surgery Case of the Year" by those attending the American Society of Reconstructive Microsurgeons annual meeting last year.
The surgery is called an "En Bloc" procedure, which translated from French means "as a whole, or in mass," meaning that the surgeon must remove the entire tumor intact.
Surgeries for bone tumors of the pelvis usually feature artificial parts or cadaver bones to reconstruct the pelvis. Often patients are confined to wheelchairs after surgery because their pelvises do not heal strongly enough to support their body weight using a prosthetic leg.
The surgical team removed the tumor and worked together to design a method to rebuild the patient's pelvis using titanium supports along with parts of the patient's leg including bones, muscles, skin and blood vessels.
"Removing the tumor required removing the leg, yet many of the tissues in the leg were healthy," says Miller, inte
|Contact: Eileen Scahill|
Ohio State University Medical Center