Abstract
Pelvic sarcomas are uncommon and pose considerable challenges to surgery. Tumour resections necessarily lead to destabilisation of the pelvic ring and this is believed to have a negative impact on lower limb function. Depending on the type of resection, there are a number of innovative reconstructions that can re-establish pelvic stability and optimise limb function.
Conservative approaches that ignore pelvic instability are also employed and these may be applied following type I, I+II, II+III, I+II+III resections. These reconstructions include ilio-femoral and ilio-ischial athrodeses. On occasions, no reconstruction may be employed.
Outcomes following minimal reconstructive efforts remain unclear. Reconstructing the pelvic ring may not be necessary in all cases to achieve satisfactory function
