Functional results of patients treated with modular prosthetic replacement for bone tumors of the extremities
Küçük Resim Yok
Tarih
2008
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Turkish Assoc Orthopaedics Traumatology
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Objectives: We evaluated functional results of patients who were treated with cemented modular prosthetic replacement for bone tumors of the extremities. Methods: The stud included 23 patients (12 males, 11 fey males mean age 49 years, range 14-81 years) who underwent wide resection and cemented endoprosthetic replacement with the TMTS (Turkish Musculoskeletal Tumor Society) prosthesis for bone tumors. Twelve patients (52.2%; mean age 63.5 years) had metastatic, 11 patients (47.8%; mean age 38 years) had primary tumors. The most common site of involvement was the femur (n=17). followed by the humerus (n=5). Functional evaluations were made with the Musculoskeletal Tumor Society (MSTS) scoring system. The mean followup up period was 24 months (range I to 108 months), being 30 months for primary, and 3 months for metastatic tumors. Results: Postoperative complications were seen in seven patients (30.4%), being local recurrences in three patients. During the follow-up period, I I patients died due to tumoral causes, distant metastasis developed in three patients, and nine patients were tumor-free. Survival was significantly better in patients with primary tumors (p<0.001). All the patients were able to walk without crutches in the postoperative period. The mean MSTS score was 58.9% (range 40% to 90%) in survivors, which was 71.5% (range 60% to 90%) for primary tumors, and 47.4% (range 40% to 73%) for metastatic tumors (p<0.001). Conclusion: Reconstruction with cemented modular endoprostheses is an appropriate surgical alternative in the treatment of large segmental defects after resection of extremity tumors, with satisfactory functional results particularly in primary tumors.
Açıklama
Anahtar Kelimeler
Bone Neoplasms/Surgery, Femoral Neoplasms, Limb Salvaged Prostheses And Implants, Reconstructive Surgical Procedures/Methods, Survival Rate, Limb Salvage, Endoprosthetic Replacement, Malignant-Tumor, Distal End, Follow-Up, Femur, Osteosarcoma, Long, Sarcoma, Reconstructions
Kaynak
Acta Orthopaedica Et Traumatologica Turcica
WoS Q Değeri
N/A
Scopus Q Değeri
Cilt
42
Sayı
4
