{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:46:21Z","timestamp":1787755581980,"version":"build-2784847793"},"reference-count":12,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"\n Case:<\/jats:title>\n A 29-year-old man was admitted with acute atraumatic left hip pain and inability to bear weight. Subsequent workup revealed an intracapsular pathologic fracture of the femoral neck secondary to a high-grade spindle cell sarcoma. A unique method of extra-articular resection and reconstruction using a 3-dimensional (3D)-printed custom cutting jig and a custom acetabular component was pursued. Wide margins were achieved without violating the joint capsule but preserving pelvic integrity, allowing a return to an active lifestyle.<\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n Three-dimensional-printed custom resection guides and implants can help achieve adequate resection margins while preserving pelvic integrity and function.<\/jats:p>\n <\/jats:sec>","DOI":"10.2106\/jbjs.cc.19.00529","type":"journal-article","created":{"date-parts":[[2020,7,16]],"date-time":"2020-07-16T10:18:38Z","timestamp":1594894718000},"page":"e19.00529-e19.00529","source":"Crossref","is-referenced-by-count":3,"title":["Extra-Articular Hip Resection and Reconstruction with Custom Acetabular Resection Guide and Implants in a Case of High-Grade Spindle Cell Sarcoma of the Proximal Femur"],"prefix":"10.2106","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0895-2586","authenticated-orcid":false,"given":"Jorge","family":"Manrique","sequence":"first","affiliation":[{"name":"Orthopaedic Surgery & Rheumatology Center, Cleveland Clinic Florida, Weston, Florida"},{"name":"Department of Orthopaedics and Sports Medicine, University of Washington, Seattle, Washington"},{"name":"Orthopaedic Oncology, University of Washington Medical Center, Seattle, Washington"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5891-5196","authenticated-orcid":false,"given":"Corey J.","family":"Schiffman","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Sports Medicine, University of Washington, Seattle, Washington"},{"name":"Orthopaedic Oncology, University of Washington Medical Center, Seattle, Washington"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4144-3524","authenticated-orcid":false,"given":"Albert D.","family":"Chan","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Sports Medicine, University of Washington, Seattle, Washington"},{"name":"Orthopaedic Oncology, University of Washington Medical Center, Seattle, Washington"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4295-3542","authenticated-orcid":false,"given":"David","family":"Olsen","sequence":"additional","affiliation":[{"name":"University of Washington School of Medicine, Seattle, Washington"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5889-1534","authenticated-orcid":false,"given":"Matthew J.","family":"Thompson","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Sports Medicine, University of Washington, Seattle, Washington"},{"name":"Orthopaedic Oncology, University of Washington Medical Center, Seattle, Washington"},{"name":"University of Washington School of Medicine, Seattle, Washington"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2020]]},"reference":[{"key":"bib1-20230720","doi-asserted-by":"crossref","first-page":"677","DOI":"10.1007\/s11999-015-4359-x","article-title":"Do surgical margins affect local recurrence and survival in extremity, nonmetastatic, high-grade osteosarcoma?","volume":"474","author":"Bertrand","year":"2016","journal-title":"Clin Orthop Relat Res."},{"key":"bib3-20230720","doi-asserted-by":"crossref","first-page":"324","DOI":"10.1007\/s11999-012-2631-x","article-title":"Poor long-term clinical results of saddle prosthesis after resection of periacetabular tumors","volume":"471","author":"Jansen","year":"2013","journal-title":"Clin Orthop Relat Res."},{"key":"bib4-20230720","doi-asserted-by":"crossref","first-page":"813683","DOI":"10.1155\/2015\/813683","article-title":"Bernese periacetabular osteotomy in a hip extra-articular resection followed by reconstruction using an extracorporeal irradiated acetabulum autograft with megaprosthesis, for proximal femur osteosarcoma in a pediatric patient","volume":"2015","author":"Barro","year":"2015","journal-title":"Case Rep Med."},{"key":"bib5-20230720","doi-asserted-by":"crossref","first-page":"695","DOI":"10.1007\/s00264-018-3771-8","article-title":"Extra-articular resection is a limb-salvage option for sarcoma involving the hip joint","volume":"42","author":"Li","year":"2018","journal-title":"Int Orthop."},{"key":"bib6-20230720","doi-asserted-by":"crossref","first-page":"431","DOI":"10.1016\/j.artd.2018.07.007","article-title":"Treatment of intra-articular hip malignancy with extra-articular resection, preservation of the acetabular columns, and total hip arthroplasty","volume":"4","author":"Wells","year":"2018","journal-title":"Arthroplast Today."},{"key":"bib7-20230720","doi-asserted-by":"crossref","first-page":"2768","DOI":"10.2106\/00004623-200512000-00024","article-title":"Extra-articular resection of the hip with a posterior column-preserving technique for treatment of an intra-articular malignant lesion. A report of two cases","volume":"87","author":"R\u00fcdiger","year":"2005","journal-title":"J Bone Joint Surg Am."},{"key":"bib8-20230720","doi-asserted-by":"crossref","first-page":"1967","DOI":"10.2106\/JBJS.N.00113","article-title":"Complications associated with the periacetabular osteotomy: a prospective multicenter study","volume":"96","author":"Zaltz","year":"2014","journal-title":"J Bone Joint Surg Am."},{"key":"bib9-20230720","doi-asserted-by":"crossref","first-page":"2112","DOI":"10.1200\/JCO.2011.38.4420","article-title":"Neoadjuvant chemotherapy with methotrexate, cisplatin, and doxorubicin with or without ifosfamide in nonmetastatic osteosarcoma of the extremity: an Italian sarcoma group trial ISG\/OS-1","volume":"30","author":"Ferrari","year":"2012","journal-title":"J Clin Oncol."},{"key":"bib10-20230720","doi-asserted-by":"crossref","first-page":"584","DOI":"10.1007\/s11999-010-1428-z","article-title":"MFH of bone and osteosarcoma show similar survival and chemosensitivity","volume":"469","author":"Jeon","year":"2011","journal-title":"Clin Orthop Relat Res."},{"key":"bib11-20230720","first-page":"0","article-title":"Synovium as a widespread pathway to the adjacent joint in undifferentiated high-grade pleomorphic sarcoma of the tibia","volume":"97","author":"Li","year":"2018","journal-title":"Med (United States)."},{"key":"bib12-20230720","doi-asserted-by":"crossref","first-page":"2529","DOI":"10.1007\/s00264-012-1677-4","article-title":"Pelvic massive allograft reconstruction after bone tumour resection","volume":"36","author":"Campanacci","year":"2012","journal-title":"Int Orthop."},{"key":"bib13-20230720","doi-asserted-by":"crossref","first-page":"2041","DOI":"10.1007\/s11999-009-0842-6","article-title":"Periacetabular osteotomy: a systematic literature review","volume":"467","author":"Clohisy","year":"2009","journal-title":"Clin Orthop Relat Res."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.19.00529","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:44:40Z","timestamp":1787751880000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.19.00529"}},"subtitle":["A Case Report"],"short-title":[],"issued":{"date-parts":[[2020]]},"references-count":12,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2020]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.19.00529","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020]]}}}