{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,15]],"date-time":"2026-08-15T16:45:38Z","timestamp":1786812338721,"version":"build-2736575974"},"reference-count":30,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2014,9,8]]},"abstract":"<jats:p>Chondosarcoma of the proximal femur is a rare malignant disorder in women of (pre-) childbearing age, for which a radical resection through a hemipelvectomy could be indicated. We describe a case of a 36-year-old primigravida with a hemipelvectomy (2004) who had a history of radiotherapy of the pelvic and uterine regions after an atypical cartilaginous tumour. After an uncomplicated pregnancy, she had a spontaneous rupture of the membranes at 41+2\u2005weeks and an uncomplicated vaginal delivery with physiological development of the infant. On the basis of the literature review, vaginal delivery after hemipelvectomy should be advocated and discussed with the patient and involved care providers. Women with radiotherapy in the pelvic and uterine areas have an increased risk of stillbirth, placental attachment disorders, impaired fetal growth, fetal malposition and preterm labour, but no association with prolonged rupture of the membranes has been described.<\/jats:p>","DOI":"10.1136\/bcr-2014-205785","type":"journal-article","created":{"date-parts":[[2014,9,25]],"date-time":"2014-09-25T08:48:04Z","timestamp":1411634884000},"page":"bcr2014205785","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["Vaginal delivery after hemipelvectomy and pelvic radiotherapy for chondrosarcoma"],"prefix":"10.1136","volume":"2014","author":[{"given":"J L","family":"Browne","sequence":"first","affiliation":[{"name":"Julius Centre for Health Sciences and Primary Care, University Medical Centre Utrecht, Utrecht, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M A","family":"Oudijk","sequence":"additional","affiliation":[{"name":"Division of Woman and Baby, Department of Obstetrics and Gynaecology, University Medical Centre Utrecht, Utrecht, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H R","family":"Holtslag","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation, Nursing Science and Sport, University Medical Centre Utrecht, Utrecht, The Netherlands"},{"name":"Brain Centre Rudolf Magnus, University Medical Centre Utrecht, Utrecht, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H W R","family":"Schreuder","sequence":"additional","affiliation":[{"name":"Division of Woman and Baby, Department of Obstetrics and Gynaecology, University Medical Centre Utrecht, Utrecht, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2014,9,25]]},"reference":[{"key":"2025082703241533000_2014.sep25_1.bcr2014205785.1","doi-asserted-by":"publisher","DOI":"10.1002\/jso.23173"},{"key":"2025082703241533000_2014.sep25_1.bcr2014205785.2","unstructured":"Fletcher CDM , Bridge JA , Hogendoorn PCW , et al . Pathology and genetics of tumours of soft tissue and bone. World Health Organization classification of tumours. Lyon: IARC Press, 2002."},{"key":"2025082703241533000_2014.sep25_1.bcr2014205785.3","first-page":"e4","article-title":"Hemipelvectomy\u2014only a salvage therapy?","volume":"3","author":"Wedemeyer","year":"2011","journal-title":"Orthop Rev (Pavia)"},{"key":"2025082703241533000_2014.sep25_1.bcr2014205785.4","first-page":"789","article-title":"Pregnancy following hemipelvectomy. 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