{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T21:17:31Z","timestamp":1777929451244,"version":"3.51.4"},"reference-count":15,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Orthop Surg (Hong Kong)"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Type 4 pelvic resections for malignant pelvic tumours are complex procedures requiring meticulous surgical planning to balance oncological control and preservation of hip joint function. Reconstruction with a high hip centre is one strategy to restore a mobile hip joint after ilium resection.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This retrospective case series reviews eight patients (5 males, 3 females; mean age 52.5\u00a0years, range 36\u201370) who underwent Type 4 pelvic resection and high hip centre reconstruction at a single institution. Tumour histologies included chondrosarcoma (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 5), Ewing\u2019s sarcoma (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 1), malignant hemangiopericytoma (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 1), and metastatic papillary thyroid carcinoma (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 1). The mean follow-up duration was 44 months (24\u201369\u00a0months).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The average surgical time was 4\u00a0h (range 3.5\u20136\u00a0h) with a mean estimated blood loss of 1500\u00a0ml (range 1200\u20132000\u00a0ml). Complications occurred in 50% of cases, including deep wound infection (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 1), seroma formation (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 2), and implant failure (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 1). There were no local recurrences. Oncological outcomes showed that 3 patients died due to disease progression, 1 remains alive with disease, and 4 are disease-free. Functional outcomes were assessed using the MSTS and TESS scoring systems, with mean scores of 63.4% (range 33.3%\u201380.3%) and 65.7% (range 25%\u201386.6%), respectively.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Type 4 pelvic resection with high hip centre reconstruction is a viable option for managing select malignant pelvic tumours, offering reasonable short-term oncological control and functional outcomes despite a notable complication rate. Careful patient selection and surgical planning remain essential.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10225536261431865","type":"journal-article","created":{"date-parts":[[2026,3,2]],"date-time":"2026-03-02T06:57:46Z","timestamp":1772434666000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Outcome of type 4 pelvic resection and reconstruction with a high hip center in malignant pelvic tumours: A case series and short-term review"],"prefix":"10.1177","volume":"34","author":[{"given":"Abilash","family":"Kumar","sequence":"first","affiliation":[{"name":"University of Malaya"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8899-9266","authenticated-orcid":false,"given":"Vivek","family":"Ajit Singh","sequence":"additional","affiliation":[{"name":"University of Malaya"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6524-8451","authenticated-orcid":false,"given":"Nor Faissal","family":"Yasin","sequence":"additional","affiliation":[{"name":"University of Malaya"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ling Xiu","family":"Wen","sequence":"additional","affiliation":[{"name":"University of Malaya"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,3,1]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-197860060-00002"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1155\/2013\/745360"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijso.2018.11.005"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.19.01437"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.3389\/fonc.2021.629582"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.102B6.BJJ-2020-0004"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.otsr.2009.04.008"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11999.0000000000000121"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12885-019-6049-7"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.3389\/fbioe.2023.1233960"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-016-4805-4"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199505000-00027"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.4103\/0019-5413.132515"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.blo.0000180046.97466.bc"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.blo.0000229279.58947.91"}],"container-title":["Journal of Orthopaedic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10225536261431865","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10225536261431865","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10225536261431865","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T23:33:28Z","timestamp":1777678408000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10225536261431865"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":15,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1177\/10225536261431865"],"URL":"https:\/\/doi.org\/10.1177\/10225536261431865","relation":{},"ISSN":["1022-5536","2309-4990"],"issn-type":[{"value":"1022-5536","type":"print"},{"value":"2309-4990","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"article-number":"10225536261431865"}}