Restoration of ambulation after internal hemipelvectomy using a three-stage reconstructive strategy: A case report and review of literature

Table 1 Chronological summary of the patient’s clinical course and three-stage reconstructive treatment following internal hemipelvectomy

Date	Age	Clinical event
2005	5 years	Diagnosis of Ewing sarcoma of the right ilium
2005-2006	5 years	Chemotherapy
May, 2006	5-6 years	Type I pelvic resection with metal plate and bone allograft acetabular reconstruction
June, 2006	5-6 years	Postoperative femoral head dislocation treated with hip cast immobilization
December, 2006	6 years	Postoperative infection and fistula excision
May, 2007	6-7 years	Recurrence of the fistula and revision osteosynthesis with fistula debridement
2008	7 years	No evidence of oncological recurrence
2009	8 years	Distal right femoral fracture treated conservatively with cast immobilization
2017	16 years	Referred to our clinic due to severe limb-length discrepancy, gait dysfunction, valgus deformity and equinus contracture
2018	17 years	Stage 1 Ilizarov tibiofibular lengthening (7.5 cm) and mechanical axis correction
2019	18 years	Stage 2 pelvic reconstruction with custom implant and total hip arthroplasty
2020	19 years	Stage 3 correction of equinus deformity, additional 3 cm lengthening, Hoke tenotomy
2022-2025	21-24 years	Follow-up: Maintained alignment, no loosening, persistent mild deficits, independent ambulation