ArticleBone & joint open2026
Complications of PI to PIII hemipelvic resections for intermediate and malignant tumours : a systematic review and meta-analysis.
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Maria A SmolleDepartment of Orthopaedics and Trauma, Medical University of Graz, Graz, Austria.
Florian A WenzlCenter for Molecular Cardiology, University of Zurich, Zurich, Switzerland.
Minna K LaitinenDepartment of Orthopaedics, HUS Musculoskeletal and Plastic Surgery, Helsinki University Hospital, Helsinki, Finland.ORCID 0000-0002-9975-0121
Lee M JeysRoyal Orthopaedic Hospital NHS Foundation Trust, Birmingham, UK.
BOOM Consortium
Andreas LeithnerDepartment of Orthopaedics and Trauma, Medical University of Graz, Graz, Austria.
Yunus Abdul BariUniversitas Airlangga, Surabaya, Indonesia.
Ahmed AboodAarhus University Hospital, Aarhus, Denmark.
John AbrahamCapital Health Medical Center, Trenton, New Jersey, USA.
Marthelena AcostaLaboratorio de Patologia Marin, Caracas, Venezuela.
Rishi AgarwalNanavati Max Super speciality Hospital, Mumbai, India.
Manish AgarwalNanavati Max Super speciality Hospital, Mumbai, India.
Vivek Ajit SinghUniversity Hospital Kuala Lumpur, Kuala Lumpur, Malaysia.
Toru AkiyamaSaitama Medical Center, JIchi Medical University, Saitama, Japan.
Humaid Al FariiSultan Qaboos University, Muscat, Oman.
A Aldosari OmarCollege of Medicine, King Saud University, Riyadh, Saudi Arabia.
Patricio AlfaroHospital Traumatologico de Concepcion, Faculty of Medicine, University of Concepcion, Concepción, Chile.
Wazzan AljuhaniNational Guard Hospital, Riyadh, Saudi Arabia.
Daniel AllisonCedars-Sinai Medical Center / Children's Hospital Los Angeles, Los Angeles, California, USA.
Mohammed AlmashahediAlkindy Teaching Hospital, Baghdad, Iraq.
Abdullah AlotaibiKing Fahad Medical City, Riyadh, Saudi Arabia.
Bugra AlpanAcibadem Maslak Hospital, Istanbul, Turkey.
S Alshaygy IbrahimKing Saud University Hospital, Riyadh, Saudi Arabia.
Turki AlthunayanNational Guard Hospital, Riyadh, Saudi Arabia.
Lorenzo AndreaniAzienda Ospedaliero Universitaria Pisana, Pisa, Italy.
Dimosthenis AndreouDepartment of Orthopaedic Oncology & Sarcoma Surgery, Essen University Hospital, West German Cancer Center - Sarcoma Center, National Center for Tumor Diseases (NCT) West, Essen, Germany.
Andriandi AndriandiRS Siloam medan, Medan, Indonesia.
Lucas AnnabellSarcoma Unit, Melbourne: St. Vincent's Hospital, Melbourne, Australia & Royal Children's Hospital, Melbourne, Australia.
Luis Aponte-TinaoHospital Italiano de Buenos Aires, Buenos Aires, Argentina.
Selma ArmasGroote Schur Hospital, Cape Town, South Africa.
William AstonRoyal National Orthopaedic Hospital, London, United Kingdom.
Emre Aycan OsmanIstanbul University Istanbul Medical Faculty / Acibadem Healthcare Group / Baltalimani Training & Research Hospital, Istanbul, Turkey.
Thomas Baad-HansenAarhus University Hospital, Aarhus, Denmark.
Charles BairdRoyal Orthopaedic Hospital, London, UK.
Tessa BalachUniversity of Chicago, Chicago, Illinois, USA.
Alfonso Barriga JuanUniversity of Toronto, Toronto, Canada.
Janie BarryMaisonneuve-Rosemont Hospital, Université de Montréal, Montréal, Canada.
Georges BasileMaisonneuve-Rosemont Hospital, Université de Montréal, Montréal, Canada.
Stefano BastoniIstituto ortopedico Gaetano Pini, Milan, Italy.
Hardian Basuki MohammadUniversitas Airlangga, Surabaya, Indonesia.
Henrik BauerGroote Schuur & Red Cross Children's Hospital, University of Cape Town, Cape Town, South Africa.
Lee BaylissRoyal National Orthopaedic Hospital, London, United Kingdom.
Ricardo BeckerHospital de Clínicas de Porto Alegre, Porto Alegre, Brazil.
Angad BediUniversity Medical Center Groningen, Groningen, Netherlands.
Joseph BeneveniaRutgers New Jersey Medical School, Newark, New Jersey, USA.
Francisco BengoaRedSalud - Instituto Oncologico FALP, Santiago, Chile.
Christina BergerSahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Nicholas BernthalUCLA Department of Orthopaedic Surgery, Los Angeles, California, USA.
Odion BinitieMoffitt Cancer Center - Department of Sarcoma, Tampa, Florida, USA.
Justin E BirdAnderson Cancer Center, Houston, Texas, USA.
Abdulrahman BobseitKing Faisal specialist hospital and research center, Riyadh, Saudi Arabia.
Caitlin BodianNorth Island Sarcoma Service, Auckland, New Zealand.
Michele BoffanoOrthopaedic Oncology Unit, AOU Citta' della Salute e della Scienza, Torino, Italy.
Patricia Bonilla HuertasHospital del Nino Dr. Jose Esquivel, Panama, Panama.
Eduardo BotelloUniversidad Católica de Chile, Santiago, Chile.
Richard BoyleRoyal Prince Alfred Hospital (RPA) Bone and Soft Tissue Tumour Unit, Sydney, Australia.
Jos BramerAmsterdam University Medical Centre, Amsterdam, Netherlands.
Demien BroekhuisLeiden University Medical Centre, Leiden, Netherlands.
Samuel E BroidaMayo Clinic, Rochester, Minnesota, USA.
Danielle BrownUC Davis Health - Orthopaedic Oncology, Sacramento, California, USA.
Tymoteusz BudnyUniversity Hospital Münster, Münster, Germany.
Zachary BurkeCleveland Clinic, Cleveland, Ohio, USA.
Jorge CabrolierClinica Alemana Santiago, Santiago, Chile.
Antonio Calvo Haro JoseHospital General Universitario Gregorio Marañón, Madrid, Spain.
Domenico Andrea CampanacciCareggi University Hospital, University of Florence, Florence, Italy.
Rodrigo CardosoInstituto Nacional de Traumatologia e Ortopedia -Brazil, Rio de Janeiro, Brazil.
Richard Carey SmithSir Charles Gairdner Hospital, Nedlands, Australia.
Nicolas Casales FresengaUnidad de Patología Oncológica y Musculoesquelética (UPOME), Republic University, Montevideo, Uruguay.
Oscar CeballosInstituto Traumatologico Chile, Santiago, Chile.
Ming Chan ChungNational University Hospital, Singapore, Singapore.
Lester ChanTan Tock Seng Hospital, Singapore, Singapore.
Peter ChoongSarcoma Victoria, Melbourne, Australia.
Adam ChrobokHospital of Orthopaedics and Trauma Surgery, Piekary Śląskie, Poland.
Yang-Guk ChungSeoul St. Mary's Hospital/The Catholic University of Korea, Seoul, South Korea.
Dawid CiechanowiczPomeranian Medical University of Szczecin, Szczecin, Poland.
Angel Clara-Altamirano MiguelNational Cancer Institute of Mexico, Mexico City, Mexico.
Luis ConsuegraPediatric Specialitis hospital / HEP, Caracas, Venezuela.
Louis CourtotHôpital Pierre Paul Riquet, Toulouse, France.
Brooke CrawfordUniversity of Miami, Coral Gables, Florida, USA.
Gillian CribbRobert Jones & Agnes Hunt, Gobowen, UK.
Eduardo Cuervo-Lozano CarlosHospital Universitario, Monterrey, Mexico.
Dietmar DammererUniversity Hospital Krems, Krems, Austria.
Pablo de la Rosaclinica delgado, Lima, Peru.
Massimiliano De PaolisIRCCS Istituto Ortopedico Rizzoli, Bologna, Italy.
Javier De Santos de la Fuente FranciscoVirgen de la Victoria, Málaga, Spain.
Marieke de VaalUniversity Hospital Münster, Münster, Germany.
Julian DeisenhoferUniversity of Heidelberg, Heidelberg, Germany.
Javier DelgadoClínica Alemana de Valdivia, Valdivia, Chile.
Shaneel DeoMiddlemore Hospital, Auckland, New Zealand.
Niklas DeventerUniversity Hospital Münster, Münster, Germany.
Claudia Di BellaSt. Vincent's Hospital, Melbourne, Fitzroy, Australia.
Edwin DierselhuisRadboud Univeristy Medical Centre, Nijmegen, Netherlands.
Gregory DomsonVCUHS, Richmond, Virginia, USA.
Davide Maria DonatiRizzoli Orthopaedic Institute, Bologna, Italy.
Rodolfo Duran-CiarrochiLas Higueras Hosp, Talcahuano, Chile.
Roland Durr HansLMU Munich, Munich, Germany.
Walid EbeidDepartment of orthopaedics, Cairo University, Giza, Eygpt.
Pierre EhlersVincent Pallotti orthopaedic hospital, Pinelands, South Africa.
Mohamed El Ghoneimy AhmedDepartment of orthopaedics, Cairo University, Giza, Eygpt.
Alessandro El MotassimePoliclinico Gemelli di Roma, Rome, Italy.
Fernando Eloi Pinto FabioAC Camargo Cancer Center, São Paulo, Brazil.
Makoto EndoKyushu University, Fukuoka, Japan.
Gadi EpsteinDurbanville Mediclinic, Durbanville, South Africa.
Levent EralpIstanbul University, Istanbul, Turkey.
Mahmoud EtaiwiRoyal Orthopaedic Hospital, Birmingham, United Kingdom.
Will EwardDuke University, Durham, North Carolina, USA.
Nicola FabbriNYU Langone Grossman School of Medicine, New York City, New York, USA.
Martina FaimaliRoyal National Orthopaedic Hospital, Stanmore, United Kingdom.
Arbab FarooqRoyal Orthopaedic Hospital, Birmingham, United Kingdom.
Khalil FarooqueLiaquat National Hospital and Medical College, Karachi, Pakistan.
Peter FergusonUniversity of Toronto, Toronto, Canada.
Nando FerreiraStellenbosch University, Stellenbosch, South Africa.
Fabrice FiorenzaDupuytren Teaching Hospital, Limoges, France.
Joao Fonseca de FreitasCentro Hospitalar Universitário de Coimbra, EPE, Coimbra, Portugal.
A Forsberg JonathanMemorial Sloan Kettering Cancer Center, New York City, New York, USA.
Bruno FuchsSwiss Sarcoma Network, Zürich, Switzerland.
Tomohiro FujiwaraOkayama University Hospital, Okayama, Japan.
P T FunovicsMedical University of Vienna, Vienna, Austria.
Edward FuzyTygerberg Hospital: Tumor, Sepsis and Limb Reconstruction Unit, Parow, South Africa.
Marcos Galli SerraHospital Universitario Austral / Orthopedix Oncology Unit, Pilar, Argentina.
Zakareya GamieNewcastle Hospitals NHS Trust, Newcastle upon Tyne, UK.
Maria Garcia CarrascoHospital Universitari Vall D'Hebrón, Barcelona, Spain.
Louie Gaston CzarUniversity of the Philippines Manila, Manila, Philippines.
Basile GeorgesUniversité de Montréal, Montreal, Canada.
Michelle GhertUniversity of Maryland, College Park, Maryland, USA.
Michelle GhertMcMaster University, Hamilton, Canada.
Kanishka GhoshSir Charles Gairdner Hospital, Nedlands, Australia.
Luca Giardina FabioASST Gaetano Pini-CTO, Milan, Italy.
Carlos Gomez Mier LuisInstituto Nacional de Cancerología, Bogotá, Colombia.
Anne Gomez-MascardInsitut Universitaire du Cancer de Toulouse, Toulouse, France.
Maria Antonia Gomez-SierraMount Sinai Hospital, Toronto, Canada.
Phakamani Goodman MthethwaUniversity of KwaZulu-Natla, KwaZulu-Natal, South Africa.
Yair GortzakMiddle East, Jerusalem, Israel.
Krista GouldingMayo Clinic, Rochester, Minnesota, USA.
Isidro GraciaHospital de la Santa Creu I de Sant Pau, Barcelona, Spain.
Natalie GreenRoyal Orthopaedic Hospital, Birmingham, United Kingdom.
Anthony GriffinMount Sinai Hospital, Toronto, Canada.
Alex GuedesUniversidade Federal da Bahia, Salvador, Brazil.
Ashish GuliaHomi Bhabha Cancer Hospital & Research Centre, New Chandigarh, India.
Sanjay GuptaGlasgow Royal Infirmary, Glasgow, UK.
Maurice GuzmanRoyal Prince Alfred Hospital (RPA) Bone and Soft Tissue Tumour Unit, Sydney, Australia.
Jendrik HardesUniversity of Essen, Essen, Germany.
O Hasan YusufSarcoma Unit, Melbourne: St. Vincent's Hospital & Royal Children's Hospital, Melbourne, Australia.
Hel HavardRoyal National Orthopaedic Hospital, London, United Kingdom.
Rex HaydonUniversity of Chicago, Chicago, Illinois, USA.
Prateek HegdeTata Memorial Hospital, Mumbai, India.
Adriana Hernandez LopezHospital Zambrano Hellion. Tec Salud, San Pedro Garza García, Mexico.
David HerreraRededor Sao Paulo, São Paulo, Brazil.
Asle HeslaKarolinska University Hospital, Stockholm, Sweden.
Matthew HessUniversity of Alabama-Birmingham, Birmingham, Alabama, USA.
Thomas HiltonGroote Schuur Hospital, Cape Town, South Africa.
Adam HirschmannSOLS, Cape Town, South Africa.
Gerhard HobuschMedical University of Vienna, Vienna, Austria.
Chindanai HongsaprabhasChulalongkorn University, Bangkok, Thailand.
Francis HornicekUniversity of Miami, Coral Gables, Florida, USA.
Keith HoskingLife Orthopaedic Hospital Cape Town, Cape Town, South Africa.
Matthew T HoudekMayo Clinic, Rochester, Minnesota, USA.
Megan HsuUniversity of Iowa, Iowa City, Iowa, USA.
Oluwaseyi IdowuNational Orthopaedic Hospital Igbobi, Lagos, Nigeria.
Mujaddid IdulhaqSoeharso Orthopedic Hospital, Surakarta, Indonesia.
Joseph IppolitoRutgers New Jersey Medical School, Newark, New Jersey, USA.
Shintaro IwataNational Cancer Hospital Japan, Tokyo, Japan.
Jake JagielloRoyal Adelaide Hospital, Adelaide, Australia.
Lee JeysRoyal Orthopaedic Hospital, Birmingham, United Kingdom.
Muhammad Phetrus JohanHasanuddin University, Makassar, Indonesia.
Luke JohnsonSouth Australian Bone & Soft Tissue Tumour Unit, Flinders Medical Centre, Bedford Park, Australia.
Andy JohnstonAuckland City Hospital, Auckland, New Zealand.
Min Wook JooDepartment of Orthopaedic Surgery, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, Seoul, South Korea.
Paul JutteUniversity Medical Center Groningen, Groningen, Netherlands.
Anna-Stina JääskeläinenHelsinki University Central Hospital, Helsinki, Finland.
Kadri KaldasNorth-Estonian Regional Hospital, Tallinn, Estonia.
Bilal KapanciInstitut Jules Bordet, Brussels, Belgium.
Onur Karaca MustafaOrthopaedics and Traumatology Ankara, Ankara, Turkey.
Akira KawaiNational Cancer Center Hospital, Tokyo, Japan.
Alysia KempUniversity of Texas, Austin, Texas, USA.
Adrian Khal Adyb-Pelican Medicover Hospital, Oradea, Romania.
Zeeshan KhanPMI Peshwar, Peshawar, Pakistan.
Aqeel Khan ZainabRehman medical institute & college, Peshawar, Pakistan.
Han-Soo KimSeoul National University Hospital, Seoul, South Korea.
Schalk KlopperGroote Schuur Hospital, Cape Town, South Africa.
Eisuke KobayashiNational Cancer Center Hospital, Tokyo, Japan.
Hiroshi KobayashiThe University of Tokyo Hospital, Tokyo, Japan.
Vasileios KontogeorgakosAttiko University General Hospital, Athens, Greece.
Daniel KotrychPomeranian Medical University of Szczecin, Szczecin, Poland.
Venkataraman Krishnamurthy AnjanRoyal National Orthopaedic Hospital, London, United Kingdom.
Toshiyuki KunisadaOkayama University Hospital, Okayama, Japan.
Vineet KurisunkalRoyal Orthopaedic Hospital, Birmingham, United Kingdom.
Richard KyteJSH / Morningside Mediclinic, Johannesburg, South Africa.
Minna LaitinenHelsinki University Central Hospital, Helsinki, Finland.
Maritz LaubscherGroote Schuur Hospital, University of Cape Town, Cape Town, South Africa.
Alexander LazaridesMoffitt Cancer Center - Department of Sarcoma, Tampa, Florida, USA.
Louis-Romee Le NailUniversity Hospital of Tours, Tours, France.
Y Lee FrancisYale University, New Haven, Connecticut, USA.
Pawel LegoszWarszawski Uniwersytet Medyczny, Warsaw, Poland.
Burkhard LehnerOrthopedic University Hospital Heidelberg, Heidelberg, Germany.
Andreas LeithnerMedical University of Graz, Graz, Austria.
Gianpaolo LeoneUniversity Hospital Krems, Krems, Austria.
O Lewis ValeraeMD Anderson Cancer Center, Houston, Texas, USA.
Binghao LiThe Second Affiliated Hospital, Zhejiang University, Hangzhou, China.
Hanna LiikanenHelsinki University Central Hospital, Helsinki, Finland.
Peng LinThe Second Affiliated Hospital Zhejiang University School of Medicine, Hangzhou, China.
Zwelithini LindaCMJHB Hospital, Johannesburg, South Africa.
Sarah LindsaySinai Health, Toronto, Canada.
Santiago Lozano CalderonMassachusetts General Hospital, Boston, Massachusetts, USA.
Mark Lutomia LumbasiAga Khan University Hospital Nairobi, Nairobi, Kenya.
Jonathan MacDonaldMusgrave Park Hospital, Belfast, United Kingdom.
Mario MalinaUniversity Hospital Bratislava, Bratislava, Slovakia.
Len MaraisUniversity of KwaZulu-Natal, KwaZulu-Natal, South Africa.
Eric MascardHospital Necker, Paris, France.
Jean-Camille MatteiHôpital Européen Marseille, Marseille, France.
Louise McCulloughNHS Grampian, Aberdeen, UK.
Sam McMahonMusgrave Park Hospital, Belfast, United Kingdom.
Ricardo Medellin Rincon ManuelFundación CTIC Luis Carlos Sarmiento Angulo / Sarcoma Unit, Bogotá, Colombia.
Lidya Mediavilla SantosHospital Gral Gregorio Marañón, Madrid, Spain.
Diederik MeijerAmsterdam University Medical Centre, Amsterdam, Netherlands.
Gerard Meijer JohannesSOLS, Johannesburg, South Africa.
Ben MillerUniversity of Iowa, Iowa City, Iowa, USA.
Allan MolloySt Vincent's University Hospital, Dublin, Ireland.
Jesus Moriel Garcesco DiegoCarlos Haya, Málaga, Spain.
Guy MorrisRoyal Orthopaedic Hospital, Birmingham, United Kingdom.
D Morris CarolMemorial Sloan Kettering Cancer Center, New York City, New York, USA.
Ashlyn Morse-SanyalWestchester Medical Centre, Valhalla, New York, USA.
Sophie MottardMaisonneuve Rosemont Hospital, Université de Montréal, Montreal, Canada.
Ahmad Munir HashimPenang General Hospital, George Town, Malaysia.
Miguel MurciaHospital Pablo Tobin Uribe- IDC las Americas, Medellín, Colombia.
Michelle MüllerUniversity of Jena, Jena, Germany.
Robert NakayamaKeio University School of Medicine, Tokyo, Japan.
Prashant NarhariOrthopedic oncology Unit, Penang General Hospital, George Town, Malaysia.
Ali NasarOngwediva Medipark Hospital, Ongwediva, Namibia.
Prakash NayakTata Memorial Hospital, Mumbai, India.
Johannes NeugebauerUniversity Hospital Krems, Krems, Austria.
Jyrki NieminenCoxa Hospital for Joint Replacement, Tampere, Finland.
Philani NtombelaUniversity of the Witwatersrand, Johannesburg, South Africa.
Lukas NystromCleveland Clinic, Cleveland, Ohio, USA.
Gary O'TooleSt Vincent's University Hospital, Dublin, Ireland.
Koichi OguraNational Cancer Center Hospital, Tokyo, Japan.
Vania OliveiraCentro Hospitalar Universitário de Santo António, Porto, Portugal.
André OlivierVergelegen Mediclinic, Cape Town, South Africa.
Mohamed OmarHannover Medical School, Hannover, Germany.
Yusuf Omran HasanSt. Vincent's Hospital Melbourne, Victoria, Australia.
Eduardo Ortiz-CruzHospital Universitario La Paz, Madrid, Spain.
Shuhei OzakiNational Cancer Center Hospital, Tokyo, Japan.
Toshifumi OzakiOkayama University Hospital, Okayama, Japan.
Elisa PalaUniversity of Padova, Padova, Italy.
Emanuela PalmeriniMiller School of Medicine, University of Miami, Miami, Florida, USA.
Yogesh PanchwaghDepartment of Orthopedic Oncologist, Deenanath Mangeshkar Hospital, Pune, India.
Panayiotis PapagelopoulosAttikon University Central Hospital, Athens, Greece.
Dimitra PapagelopoulosAgia Sofia Pediatric Hospital, Athens, Greece.
Giovanni ParaliticciMiami Cancer Institute, Miami, Florida, USA.
Parker Gibbs CUF Orthopaedics, Gainesville, Florida, USA.
Michael ParryRoyal Orthopaedic Hospital, Birmingham, United Kingdom.
Ana PeiróOrthopaedic Oncology Unit, Hospital Sant Pau, Barcelona, Spain.
Jonathan PereraRoyal National Orthopaedic Hospital, Stanmore, United Kingdom.
Michael Moerk PetersenDepartment of Orthopedics, Rigshospitalet/University of Copenhagen, Copenhagen, Denmark.
Oatile PhakathiUniversity of Toronto, Toronto, Canada.
Rapin PhimolsarntiFaculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Tshepang PhiriUniversity of Pretoria, Pretoria, South Africa.
Nicolas Pinto SantanderTraumatología y Ortopedia, Santiago, Chile.
Joris PloegmakersUniversity Medical Center Groningen, Groningen, Netherlands.
Robin PollockRoyal National Orthopaedic Hospital, Stanmore, United Kingdom.
Gerard PowellSarcoma Victoria, Victoria, Australia.
Manish PruthiTata Memorial Hospital, Mumbai, India.
Mark PuhaindranNational University Hospital, Singapore, Singapore.
Ajay PuriTata Memorial Hospital, Mumbai, India.
Julia QuirionBillings Clinic, Billings, Montana, USA.
Eden RabinCambridge University Hospitals, Cambridge, UK.
Anna RachbauerUniversity Hospital Münster, Münster, Germany.
Sanjeevan RadhakrishnanPenang General Hospital, George Town, Malaysia.
Anand RajaCancer Institute (WIA), Chennai, India.
Rohit RajalbandiManipal Hospital, Bengaluru, India.
Rajiv RajaniTTUHSC El Paso, El Paso, Texas, USA.
Bhaskara Rajasekaran RajaGanga Medical Centre & Hospitals, Coimbatore, India.
Stanislav RajkovicInstitute for orthopaedics "Banjica", Belgrade, Serbia.
Dipak RamkumarCommonSpirit Health/Creighton University School of Medicine, Omaha, Nebraska, USA.
Kenneth RankinNewcastle Upon Tyne, Newcastle Upon Tyne, UK.
Alejandro Ras El Abiad MejiaClinica del Campestre y Clinica Vida, Medellín, Colombia.
Kumaran RasappanNational University Hospital, Singapore, Singapore.
Malena RedlUniversity Hospital Krems, Krems, Austria.
S Rose PeterMayo Clinic, Rochester, Minnesota, USA.
Andrew RosenbergDepartment of Pathology Miller School of Medicine University of Miami, Miami, Florida, USA.
Pietro RuggieriUniversity of Padova, Padova, Italy.
Michael RussellCure Malawi, Blantyre, Malawi.
German SalcedoClinica Sebastian De Belalcazar, Cali, Colombia.
Ahmad SalehImplantcast, Saudi Arabia and Jordan, Saudi Arabia.
Andrea SambriIRCCS Istituto Ortopedico Rizzoli, Bologna, Italy.
Darma Saputra RhyanMoewardi General Hospital, Surakarta, Indonesia.
Roberto ScanferlaOrthopedics Oncology and Reconstructive Surgery Unit, Florence, Italy.
Thomas ScharschmidtNationwide Childrens Hospital Ohio, Columbus, Ohio, USA.
Thomas SchubertCliniques universitaires Saint-Luc, Brussels, Belgium.
Guido ScocciantiCareggi University Hospital, University of Florence, Florence, Italy.
Florencio SeguraUnidad de Tumores Musculoesqueleticos de Cordoba, Córdoba City, Argentina.
Simen SellevoldOslo University Hospital, Oslo, Norway.
Shanmuganthan RajasekaranGanga Medical Centre and Hospitals, Coimbatore, India.
Ahmad ShehadehKing Hussein Cancer Center/Orthopedic unit, Amman, Jordan.
Bhim ShreemalRoyal Orthopaedic Hospital, Birmingham, United Kingdom.
Félix ShumelinskyInstitut Jules Bordet, Brussels, Belgium.
Ather Siddiqi MuhammadOxford University Hospitals, Oxford, UK.
Claudio SilveriInot oncólogy orthopaedic, Montevideo, Uruguay.
Friedl SinnaeveLeuven University Hospitals, Leuven, Belgium.
Maria Anna SmolleMedical University of Graz, Graz, Austria.
Franz SnymanJohannesburg Surgical Hospital, Johannesburg, South Africa.
Michael SolomonsGroote Schuur Hospital, University of Cape Town, Cape Town, South Africa.
Scott SommervilleThe Wesley Hospital, Brisbane, Australia.
Sood Sood SahilHomi Bhabha cancer hospital and research Centre, Tata Memorial Centre, New Chandigarh, India.
Eliana Spense MarielIsols - slatme, Llavallol, Argentina.
Christian SpiegelUniversity of Jena, Jena, Germany.
Andre SpiguelUniversity of Florida, Gainesville, Florida, USA.
Eric StaalsIRCCS Istituto Ortopedico Rizzoli, Bologna, Italy.
Nikolaos StavropoulosAthens Medical School, National and Kapodistrian University of Athens, Athens, Greece.
Peter SteadmanPrincess Alexandra Hospital, Brisbane, Australia.
Sydney SternUniversity of Maryland / TGCT Support, Baltimore, Maryland, USA.
Jonathan StevensonRoyal Orthopaedic Hospital, Birmingham, United Kingdom.
Pablo StoppielloUnidad de Patología Oncológica Musculoesquelética (UPOME), Montevideo, Uruguay.
H Sullivan MikaelaMayo Clinic, Rochester, Minnesota, USA.
Bartlomiej SzostakowskiGruca Orthopaedic and Trauma Teaching Hospital, Otwock, Poland.
Bartek SzostakowskiGruca Orthopaedic and Trauma Teaching Hospital, Otwock, Poland.
Xiaodong TangPeking University People's Hospital, Beijing, China.
B Thippesamy PushpaGanga Medical Centre and Hospitals, Coimbatore, India.
Joachim ThorkildsenOslo University Hospital, Oslo, Norway.
Kaspar TootsiTartu University Hospital, Tartu, Estonia.
Ferran Torner RubiesHospital Sant Joan de Deu, Barcelona, Spain.
Koray TosyaliOrthopaedic and Traumatology Department, Celal Bayar University, Manisa, Turkey.
Frank TraubUniversity Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany.
C Trent JonathanSylvester Comprehensive Cancer Center, University of Miami, Miami, Florida, USA.
Ioannis TrikoupisNational and Kapodistrian University of Athens, Athens, Greece.
Panagiotis TsagkozisKarolinska University Hospital, Stockholm, Sweden.
Pakjai TuntarattanapongPrince of Songkla University, Hat Yai, Thailand.
Farman UllahOrthopedic Oncology, Khyber Pakhtunkhwa, Pakistan.
Marisa N UlrichMayo Clinic, Rochester, Minnesota, USA.
Veli-Matti VainioTamepere University Hospital, Tampere, Finland.
Juan ValenciaCentro Oncológico Antioquia, Envigado, Colombia.
Michiel van de SandeLeiden University Medical Centre, Leiden, Netherlands.
Ingrid Van Der GeestRadboud Univeristy Medical Centre Nijmegen, Nijmegen, Netherlands.
Robert van der WalLeiden University Medical Center, Leiden, Netherlands.
Roberto Velez VillaHospital Universitari Vall D'Hebrón, Barcelona, Spain.
Léonie VerbekeAZ ZENO, Knokke-Heist, Belgium.
G M Verspoor FloortjeAmsterdam University Medical Center, Amsterdam, Netherlands.
Anne VersteegMayo Clinic, Rochester, Minnesota, USA.
George VicatosAttri Orthopaedics, Cape Town, South Africa.
Singh Virk JagandeepParas Cancer Center, Gurgaon, India.
Julia VisgaussDuke University, Durham, North Carolina, USA.
Oleg VyrvaSytenko Institute of Spine and Joint Pathology, Kharkiv, Ukraine.
Hazem WafaLeuven University Hospitals, Leuven, Belgium.
Ismail Wan Faisham Numan WanUniversiti Sains Malaysia, Gelugor, Malaysia.
Qi Wang PatrickMaisonneuve Rosemont Hospital, Université de Montréal, Montreal, Canada.
Ran WeiPeking University People's Hospital, Beijing, China.
David WennergrenSahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Joel WerierThe Ottawa Hospital, Ottawa, Canada.
Wolfram WeschenfelderUniversity Hospital Jena, Jena, Germany.
Nadine WilliamsComputer Surgical Institute, Stanford, California, USA.
Jay WunderMount Sinai Hospital, Toronto, Canada.
Yusuf Yildiz HuseyinOrthopaedics and Traumatology Ankara, Ankara, Turkey.
Eduardo YonamineSanta Casa Medical School of Sao Paulo, São Paulo, Brazil.
Hirotaka YonezawaDepartment of Orthopedic Surgery, Graduate School of Medical Sciences, Kanazawa University, Kanazawa, Japan.
Maitham YousufKhoula Hospital, Muscat, Oman.
Suraya Zainul AbidinSingapore General Hospital, Singapore, Singapore.
Tomas ZamoraPontificia Universidad Católica de Chile, Santiago, Chile.
Lee ZuckermanKeck School of Medicine of the University of Southern California, Los Angeles, California, USA.
Pablo Zumarraga JuanHospital Metropolitano / Departamento de Ortopedia y Traumatología, Quito, Ecuador.
Harzem ÖzgerIstanbul University, Istanbul, Turkey.
Korhan ÖzkanIstanbul Medeniyet University, Istanbul, Turkey.
Chanonta TriganjananunDepartment of Orthopaedics, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
Marcela AguirreInstituto Oncológico FALP, Santiago, Chile.
Motaz AlaqeelHospital de Clínicas de Porto Alegre, Porto Alegre, Brazil.
Abdulrahman AlaseemHospital de Clínicas de Porto Alegre, Porto Alegre, Brazil.
Kate AlexanderBone and Soft Tissue Tumour Unit, Royal Prince Alfred Hospital, Sydney, Australia.
Melanie ArdeltOrthopaedics and Traumatology, University Hospital Krems, Krems, Austria.
Pablo BaezaInstituto Oncológico FALP, Santiago, Chile.
Xavier BanseDepartment of Orthopedic Surgery, Cliniques Universitaires Saint Luc, Brussels, Belgium.
Daniel FranksBone and Soft Tissue Tumour Unit, Royal Prince Alfred Hospital, Sydney, Australia.
Semay BaydarRoyal Orthopaedic Hospital, Birmingham, United Kingdom.
Arpan DoshiRoyal Orthopaedic Hospital, Birmimgham, United Kingdom.
Alessandro BruschiIRCCS Istituto Ortopedico Rizzoli, Bologna, Italy.
Mirka BuistUniversity Medical Center Groningen, Groningen, Netherlands.
Tilmann BusseDepartment of Orthopedics and Traumatology, University Medical Center Mainz, Mainz, Germany.
María CarrascoHospital Universitari Vall D'Hebrón, Barcelona, Spain.
Ashley CastanRutgers New Jersey Medical School, Newark, New Jersey, USA.
Liang ChangNational University Hospital, Singapore, Singapore.
Chris CharoenlapDepartment of Orthopaedics, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
Florez ChaustreOrthopedic Oncology Unit, Instituto Nacional de Cancerología, Bogota, Colombia.
Janet ChinUniversity of Chicago, Chicago, Illinois, USA.
Matthew PateUniversity of Chicago, Chicago, Illinois, USA.
Daniel OlsonUniversity of Chicago, Chicago, Illinois, USA.
Olivier CornuDepartment of Orthopedic Surgery, Cliniques Universitaires Saint-Luc, Brussels, Belgium.
Clayton FarrisUniversity of Alabama-Birmingham, Birmingham, Alabama, USA.
Lima deUniversity of Alabama-Birmingham, Birmingham, Alabama, USA.
Eren DemirDepartment of Orthopedics and Traumatology, University Medical Center Mainz, Mainz, Germany.
Pierre-Louis DocquierDepartment of Orthopedic Surgery, Cliniques Universitaires Saint-Luc, Brussels, Belgium.
Myléne DuivenvoordenAmsterdam University Medical Centre Department of Orthopedic Surgery and Sports Medicine, Amsterdam, Netherlands.
Ullah FarmanOrthopaedic & Spine unit Hayatabd medical complex, Peshawar, Pakistan.
Michael FlintNorth Island Sarcoma Service, Auckland, New Zealand.
Gabriel García-HuidobroInstituto Oncológico FALP, Santiago, Chile.
Aaron GazendamOrthopaedic Oncology ; Mount Sinai Hospital, Toronto, Canada.
Yanina GolovinaSytenko Institute of Spine and Joint Pathology, Bone Tumour Department, Kharkiv, Ukraine.
Carlos Gomez M LuisInstituto Nacional de Cancerología, Bogota, Colombia.
Catalina González-BrowneCancer Research and Innovation Center, Fundación Arturo López Pérez (FALP), Santiago, Chile.
Juan Carlos Gonzalez-SaldivarHospital Zambrano Hellion. Tec Salud, Monterrey, Mexico.
Alejandro González-MottaFundacion CTIC Luis Carlos Sarmiento Angulo, Bogota, Colombia.
Georg GoshegerDepartment of General Orthopaedics and Tumour Orthopaedics, Münster University Hospital, Münster, Germany.
Francois GouinOrthopaedic surgery department Lyon, Lyon, France.
Andrew GraydonNorth Island Sarcoma Service, Auckland, New Zealand.
Amr HeshamDepartment of Orthopaedics, Cairo University, Cairo, Egypt.
Anna HohensteinerMedical University of Vienna Department of Orthopaedics and Trauma Surgery, Vienna, Austria.
Bright IgbinobaNational Orthopaedic Hospital Lagos, Lagos, Nigeria.
David JoyceDepartment of Sarcoma, Moffitt Cancer Center, Tampa, Florida, USA.
Douglas LetsonDepartment of Sarcoma, Moffitt Cancer Center, Tampa, Florida, USA.
Sarah TepperDepartment of Sarcoma, Moffitt Cancer Center, Tampa, Florida, USA.
Beatrice JungZOU, Unimedizin Mainz, Mainz, Germany.
Christiane JungelsInstitut Jules Bordet, Brussels, Belgium.
Willem JutteUniversity Medical Center Groningen, Groningen, Netherlands.
Aqeel Khan ZainabAO Hospital, Karachi, Pakistan.
Nader KhaouamMaisonneuve-Rosemont Hospital, Université de Montréal, Montreal, Canada.
Gitte KrebbekxAmsterdam University Medical Centre Department of Orthopedic Surgery and Sports Medicine, Amsterdam, Netherlands.
Valérie LacroixDepartment of Cardiothoracic Surgery, Cliniques Universitaires Saint-Luc, Brussels, Belgium.
Jewoo LeeDepartment of Orthopaedic Surgery, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, Seoul, South Korea.
Minpyo LeeDepartment of Orthopaedic Surgery, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, Seoul, South Korea.
Pau MachadoOrthopaedic Oncology Unit, Hospital Sant Pau, Barcelona, Spain.
Edgar MajirijaGroote Schuur Hospital University of Cape Town, Cape Town, South Africa.
Roman MalykSytenko Institute of Spine and Joint Pathology, Bone Tumour Department, Kharkiv, Ukraine.
G Mthethwa PhakamaniUniversity of KwaZulu-Natal, Nelson R. Mandela School of Medicine, Durban, South Africa.
Carlos Muñoz-MontecinosInstituto Oncológico FALP, Santiago, Chile.
Camila QuirlandInstituto Oncológico FALP, Santiago, Chile.
Maria RamirezInstituto Oncológico FALP, Santiago, Chile.
Sarah O'Reilly-HarbidgeSarcoma Victoria, Melbourne, Australia.
Made Dolly OktayanaFaculty of Medicine of Universitas Airlangga, Surabaya, Indonesia.
Opeyemi OlusunmadeNational Orthopaedic Hospital Igbobi, Lagos, Nigeria.
Grant PangSarcoma Victoria, Melbourne, Australia.
Chris StubbeSarcoma Victoria, Melbourne, Australia.
Walter ParizziaHospital Universitario Austral, Buenos Aires, Argentina.
Rafael PinheiroInstituto Nacional de Traumatologia e Ortopedia / Hospital Universitário Pedro Ernesto, Rio de Janeiro, Brazil.
Yuni PrabowoFaculty of Medicine of Universitas Airlangga, Surabaya, Indonesia.
B Ramkumar DipakCreighton University School of Medicine, Phoenix Campus CommonSpirit Health, Phoenix, Arizona, USA.
Arianna RizzoMedical University of Vienna Department of Orthopaedics and Trauma Surgery, Vienna, Austria.
Ahmed SamyDepartment of Orthopaedics, Cairo University, Cairo, Egypt.
Maria Sánchez-MaldonadoHospital Zambrano Hellion. Tec Salud, Monterrey, Mexico.
Nathalia SundinInstituto Nacional de Traumatologia e Ortopedia / Hospital Universitário Pedro Ernesto, Rio de Janeiro, Brazil.
Basantes SuntaxiHospital Metropolitano / Departamento de Ortopedia y Traumatología, Quito, Ecuador.
Nikhil TandonHomi Bhabha cancer hospital and research Centre, New Chandigarh, Punjab, Tata Memorial Centre, Punjab, India.
Bruno TerrarossaHospital Universitario Austral, Buenos Aires, Argentina.
Laura TrullolsOrthopaedic Oncology Unit, Hospital Sant Pau, Barcelona, Spain.
Kim TsoiOrthopaedic Oncology Department, Mount Sinai Hospital, University of Toronto, Toronto, Canada.
Ahmed ZaghloulSouth Australian Bone & Soft Tissue Tumour Unit, Adeleine, Australia.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Aims: Surgical management of intermediate and malignant tumours in the pelvis is complex. Complications are frequent and either related to the surgery itself or to post-surgical failure of the reconstruction technique. This systematic review and meta-analysis aims at analyzing all reported complications following PI to PIII pelvic resections for intermediate and malignant tumours. Methods: Based on a systematic literature search on PubMed adhering to the PRISMA guidelines, 1,683 study records were identified, of which we included 90 original studies published until 22 July 2025. Overall complication rates were assessed with random-effects meta-analysis. Differences in complication rates between reconstruction types (i.e. megaprosthetic, mostly biological, none) were evaluated with meta regression analysis. Results: Data on 2,199 patients (1,250 males (57%)) with mainly PI to PIII pelvic resections were analyzed. The most common reconstruction types were custom-made implants (21%; n = 451) and ice-cream cone prostheses (14%; n = 312). Pooled rates of infections, wound healing problems, nerve injuries, and deep vein thrombosis (DVT) amounted to 15% (95% CI 12% to 18%), 13% (95% CI 10% to 15%), 7% (95% CI 5% to 9%), and 4% (95% CI 2% to 6%), respectively. Further, pooled implant revision/removal and secondary external hemipelvectomy rates were 14% (95% CI 11% to 17%) and 4% (95% CI 3% to 5%). Mostly biological reconstructions were associated with higher rates of nerve injuries (p < 0.001), construct failures (p = 0.010), and secondary implant revision/removal (p = 0.003) compared to megaprosthetic reconstruction. Further, biological reconstructions were associated with increased secondary external hemipelvectomy rates compared to megaprosthetic reconstructions (p = 0.005) or no reconstructions (p = 0.001). Conclusion: Treatment of pelvic malignancies is challenging, with technically demanding resections and complex reconstructions. Across all reconstruction techniques following sacrum-sparing pelvic resections, infections and wound healing problems are the most common complications, yet there is also a considerable proportion of patients with neurovascular complications and DVTs.
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