Purpose

This case report describes an unprecedented approach to a suprapubic hernia as a result of pubic symphyseal resection of chondrosarcoma. The reconstruction was accomplished with vascularized iliac crest bone three years after the oncologic resection.

Methods and materials

After the vascularized iliac bone crest was prepared, it was secured with lag screws which failed. We then used plates and screws which also failed. After removal of all hardware, Marlex mesh was placed posterior to the reconstructed area to immobilize the bone graft.

Summary

Isolated anterior pelvic reconstruction can be a challenging problem, especially following oncologic resection. Few reports exist in the literature. We devised a plan to repair a suprapubic hernia secondary to pubic symphyseal resection. We attempted repair with a vascularized iliac bone graft using lag screws as well as plates. These attempts failed and out of necessity we formed a piece of Marlex mesh to stabilize our bone graft. The combination of Marlex mesh with vascularized iliac bone graft proved to be successful.

Conclusions

This combination provides bony continuity while allowing some mobility in the pelvis. We believe this is an excellent option for patients needing pubic symphyseal reconstruction following oncologic resection.