Navigation Links
Ohio State surgeons rebuild pelvis of cancer patient

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, interim chair of Ohio State University Medical Center's Department of Plastic Surgery, who specializes in reconstructive surgical oncology. "We wondered if it was possible to use the healthy parts of the patient's leg to reconstruct his pelvis."

The custom device that Mendel fashioned features two large rods and a couple of smaller rods fixed to the pelvis and spine with 14 screws to help provide support while the leg bones fused together.

The Ohio State surgery marked the first time that surgeons used living bone from the patient's amputated limb to reconstruct the pelvis in this fashion. This allowed the bones to fuse together to create an intact pelvic ring strong enough to allow the patient to walk again on a prosthetic leg, according to Mayerson, director of the division of musculoskeletal oncology in the department of orthopedics.

"Once you disrupt the pelvic ring to the extent done in this case, the stability of your spine connected to your pelvis is not nearly as good. The surgical team came up with a way to reconstruct the patient's pelvic ring to provide solid support, so that he could be as active as possible," adds Mayerson.

The surgical team amputated the patient's leg, but preserved the femur (thigh bone) and fibula (lower leg bone), along with their still-attached blood vessels, skin and muscles that Miller then transferred into the pelvis.

The patient, 53-year-old Mike Prindle of Baltimore, Ohio, was a mail carrier who developed a chondrosarcoma tumor on his pelvis and sacrum (tailbone) that, if left untreated, would have eventually killed him. Since this type of bone cancer does not respond to chemotherapy or radiation, surgery was his only treatment option.

The surgery and recovery proved successful with no major complications. Earlier this year, Prindle was fitted with a high-tech computerized prosthetic leg, and has been undergoing physical therapy rehabilitation sessions twice a week at Ohio State's Medical Center.

The prosthetic leg is equipped with mini-computers at the hip joint, knee joint and foot that gauge his step, pressure and speed and adapt accordingly to support his body. At night, his leg is charged through a USB port that also stores data from the day to track to his progress.

"Every time he takes another step, the prosthetic leg learns more about his gait," says Mayerson. "The computer actually decreases the amount of energy that he has to spend to move the prosthesis and allows him to move easier. He's one of the first people in the United States to have a computerized artificial hip and a computerized artificial knee in a prosthetic working at the same time."

The operations required a team of hundreds of OSUCCC James staff members, including oncologists, urologists, neurosurgeons, plastic surgeons and general surgeons, along with nurses and surgical technicians.

"We take a multidisciplinary approach, and that makes The James unique," says Mendel, director of spinal neurosurgery. "We are able to bring together surgeons from many different disciplines to decide the best care for each patient."


Contact: Eileen Scahill
Ohio State University Medical Center

Related medicine news :

1. Penn State to focus on obesity prevention training
2. Researchers find that aspirin reduces the risk of cancer recurrence in prostate cancer patients
3. Tissue spacers reduce risk of rectal injury for prostate cancer patients
4. MRI locates prostate cancer recurrence at extremely low PSA levels
5. Scripps Research wins more than $2 million to study prostate cancer
6. Heart-Healthy Omega-3s Not Healthy for Prostate: Study
7. Happiest States Show Highest Suicide Rates: Study
8. Public session of the Cancer Drug Development Roundtable at Ohio State
9. Acupuncture May Help Ease Hot Flashes Tied to Prostate Cancer Treatment
10. Phase 3 trial finds no benefit from atrasentan added to chemo for advanced prostate cancer
11. Acupuncture relieves hot flashes from prostate cancer treatment
Post Your Comments:
(Date:12/1/2015)... ... , ... Growth in medical payments per workers’ compensation claim in Louisiana slowed ... nonhospital care, according to a recent study by the Workers Compensation Research Institute (WCRI). ... medical payments per claim with more than seven days of lost time continued to ...
(Date:12/1/2015)... , ... December 01, 2015 , ... ... medical images have been lifted as IMAGE Information Systems launches MED-TAB™ -- the ... North America Annual Meeting from November 29 to December 4, 2015. , ...
(Date:12/1/2015)... ... December 01, 2015 , ... Visage accelerates mobile imaging results ... subsidiary of Pro Medicus Ltd. (ASX: PME), has announced they are demonstrating new ... America (RSNA) 2015 annual meeting through December 3 in Chicago, Illinois, at Booth ...
(Date:12/1/2015)... (PRWEB) , ... December 01, 2015 , ... ... clinical solutions for the care management and population health arenas, is pleased to ... clinical and cost containment services, has successfully implemented the ACUITY Complete Care™ Management ...
(Date:12/1/2015)... ... ... Nurotron Biotechnology Co., Ltd., maker of cochlear implant systems, has won a ... will be from the China Disabled Persons’ Federation, a central government association, for nearly ... children and adults suffering from severe and profound hearing loss . The company ...
Breaking Medicine News(10 mins):
(Date:12/1/2015)...  Today, AmerisourceBergen, a global healthcare ... first-of-its-kind population health management program focused on the ... be built into existing employer benefit packages, CareFront ... their care and explains how to avoid unnecessary ... help patients understand their treatment options and financially ...
(Date:12/1/2015)... DUBLIN , Dec. 01, 2015 ... addition of the "Medical Alert Systems/Personal Emergency ... and by Geography - Global Forecas" report ... has announced the addition of the "Medical ... Type, by End-User and by Geography - Global ...
(Date:12/1/2015)... ) has ... Technology Market 2015 - Forecast to 2020" ... ) has announced the addition of the ... 2020" report to their offering. --> ... announced the addition of the "Drug Delivery ...
Breaking Medicine Technology: