Functional outcome after endoprosthetic limb-salvage therapy of primary bone tumours—a comparative analysis using the MSTS score, the TESS and the RNL index

作者: P. U. Tunn , D. Pomraenke , U. Goerling , P. Hohenberger

DOI: 10.1007/S00264-007-0388-8

关键词:

摘要: Limb-saving therapy for primary bone tumours is the treatment of choice. We aimed at analysing quality life this group patients by combining three different tools. Eighty-seven (46 females, 41 males) with a tumour extremity who had undergone endoprosthetic reconstruction between 1982 and 2000 were included in retrospective study. The median age time evaluation was 30 (12–73) years. Toronto Extremity Salvage Score (TESS) Reintegration to Normal Living index (RNL) recorded an average 5.8 years after Musculoskeletal Tumour Society (MSTS) 6.5 years. mean MSTS score 77% (13–93%). TESS 82% (22–99%), RNL 87% (32–98%). subjective satisfaction acceptance physical impairment significantly higher than objective (p < 0.001). 88% aged 12–25 years, 81% those 26–40 years 57% 41–73 years. Parallel recording score, provides better measure reflecting complex situation parameters.

参考文章(26)
AKIRA KAWAI, GEORGE F. MUSCHLER, JOSEPH M. LANE, JAMES C. OTIS, JOHN H. HEALEY, Prosthetic Knee Replacement after Resection of a Malignant Tumor of the Distal Part of the Femur. Medium to Long-Term Results* Journal of Bone and Joint Surgery, American Volume. ,vol. 80, pp. 636- 647 ,(1998) , 10.2106/00004623-199805000-00004
Bruce M. McGoveran, Allan E. Gross, Aileen M. Davis, Robert S. Bell, Evaluation of the allograft-prosthesis composite technique for proximal femoral reconstruction after resection of a primary bone tumour. Canadian Journal of Surgery. ,vol. 42, pp. 37- 45 ,(1999)
A. HILLMANN, C. HOFFMANN, G. GOSHEGER, H. KRAKAU, W. WINKELMANN, Malignant tumor of the distal part of the femur or the proximal part of the tibia: endoprosthetic replacement or rotationplasty. Functional outcome and quality-of-life measurements. Journal of Bone and Joint Surgery, American Volume. ,vol. 81, pp. 462- 468 ,(1999) , 10.2106/00004623-199904000-00003
Michel Malo, Aileen M. Davis, Jay Wunder, Bassam A. Masri, Robert S. Bell, Marc H. Isler, Robert E. Turcotte, Functional evaluation in distal femoral endoprosthetic replacement for bone sarcoma. Clinical Orthopaedics and Related Research. ,vol. 389, pp. 173- 180 ,(2001) , 10.1097/00003086-200108000-00024
A Zahlten-Hinguranage, L Bernd, V Ewerbeck, D Sabo, Equal quality of life after limb-sparing or ablative surgery for lower extremity sarcomas. British Journal of Cancer. ,vol. 91, pp. 1012- 1014 ,(2004) , 10.1038/SJ.BJC.6602104
C. H. Gerrand, D. Currie, P. Grigoris, R. Reid, D. L. Hamblen, Prosthetic reconstruction of the femur for primary bone sarcoma. International Orthopaedics. ,vol. 23, pp. 286- 290 ,(1999) , 10.1007/S002640050373
A. M. Davis, R. S. Bell, E. M. Badley, K. Yoshida, J. I. Williams, Evaluating functional outcome in patients with lower extremity sarcoma. Clinical Orthopaedics and Related Research. ,vol. 358, pp. 90- 100 ,(1999) , 10.1097/00003086-199901000-00012
Roberto H. Fabroni, Aldo Castagno, Antonio L. Aguilera, Alejandro M. Steverlynck, Joaquin Zeballos, Long-term results of limb salvage with the Fabroni custom made endoprosthesis. Clinical Orthopaedics and Related Research. ,vol. 358, pp. 41- 52 ,(1999) , 10.1097/00003086-199901000-00007
Ilyas I., Pant R., Kurar A., Moreau P., Younge D., Modular megaprosthesis for proximal femoral tumors International Orthopaedics. ,vol. 26, pp. 170- 173 ,(2002) , 10.1007/S00264-002-0335-7
Aileen M. Davis, Michael Devlin, Anthony M. Griffin, Jay S. Wunder, Robert S. Bell, Functional Outcome in Amputation Versus Limb Sparing of Patients With Lower Extremity Sarcoma: A Matched Case-Control Study Archives of Physical Medicine and Rehabilitation. ,vol. 80, pp. 615- 618 ,(1999) , 10.1016/S0003-9993(99)90161-2