The Surgical Treatment of Pelvic Bone Metastases

Table 2

Summary of surgical techniques for pelvic metastasis.

Patient	Site of lesion	Resection	Reconstruction
Class 1	Zones 1, 3	Wide margins	None
	Zone 2	Wide margins	Harrington procedure; Megaprosthesis; Saddle prosthesis; Massive allograft with; THR
			Harrington I defect
			Curettage, cement
			Conventional THR
			Harrington II defect
			THR with reinforcement ring
			Harrington III defect
Classes 2, 3	Zone 2	Marginal,; intralesional	Harrington procedure
			Defect filling with cement or
			allograft and THR
			Harrington IV defect
			Megaprosthesis
			Saddle prosthesis
			Massive allograft with
			THR

THR: total hip replacement.