Early Functional Outcome of Resection and Endoprosthesis Replacement for Primary Tumor around the Knee

We evaluated functional outcomes for patients who underwent surgery for resection and endoprosthesis replacement for primary tumours around the knee. We used the Musculoskeletal Tumour Society Scoring System (MSTS) for functional evaluations to compare differences between distal femur (DF) and proxi...

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Main Authors: AR Sharil, AH Nawaz, MZ Nor Azman, W Zulmi, WI Faisham
Format: Article
Language:English
Published: Malaysian Orthopaedic Association 2013-03-01
Series:Malaysian Orthopaedic Journal
Subjects:
Online Access:http://www.morthoj.org/2013/v7n1/endoprosthesis-replacement.pdf
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author AR Sharil
AH Nawaz
MZ Nor Azman
W Zulmi
WI Faisham
author_facet AR Sharil
AH Nawaz
MZ Nor Azman
W Zulmi
WI Faisham
author_sort AR Sharil
collection DOAJ
description We evaluated functional outcomes for patients who underwent surgery for resection and endoprosthesis replacement for primary tumours around the knee. We used the Musculoskeletal Tumour Society Scoring System (MSTS) for functional evaluations to compare differences between distal femur (DF) and proximal tibia (PT) placements. The study sample included 34 cases of distal femur and 20 cases of proximal tibia endoprosthesis replacement. Primary tumours were classified as follows: 33 osteosarcoma, 20 stage III giant cell tumour (GCT) and one case of mesenchymal chondrosarcoma. The mean MSTS score for both DF and PT endoprosthesis together was 21.13 (70.43%), and The MSTS scores for DF was 21.94 (73.13%) and PT was 19.75 (65.83%) Infection developed in 7 cases and 5 of which were PT endoprosthesis cases. Three deep infections required early, two-stage revision and resulted in poor MSTS scores. We conclude that endoprosthesis replacement for primary bone tumours had early good to excellent functional outcome. There were no differences in functional outcomes when comparing distal femur endoprostheses with proximal tibia endoprostheses.
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spelling doaj.art-cd92122b3b82444ebd4a0e0f15a09f9e2022-12-21T20:19:04ZengMalaysian Orthopaedic AssociationMalaysian Orthopaedic Journal1985-25332013-03-0171303510.5704/MOJ.1303.013Early Functional Outcome of Resection and Endoprosthesis Replacement for Primary Tumor around the KneeAR Sharil0AH Nawaz1MZ Nor Azman2W Zulmi3WI Faisham4MMed Orth (USM)MMed Orth (USM)MMed Orth (USM)MS Orth (UKM)MMed Orth (USM)We evaluated functional outcomes for patients who underwent surgery for resection and endoprosthesis replacement for primary tumours around the knee. We used the Musculoskeletal Tumour Society Scoring System (MSTS) for functional evaluations to compare differences between distal femur (DF) and proximal tibia (PT) placements. The study sample included 34 cases of distal femur and 20 cases of proximal tibia endoprosthesis replacement. Primary tumours were classified as follows: 33 osteosarcoma, 20 stage III giant cell tumour (GCT) and one case of mesenchymal chondrosarcoma. The mean MSTS score for both DF and PT endoprosthesis together was 21.13 (70.43%), and The MSTS scores for DF was 21.94 (73.13%) and PT was 19.75 (65.83%) Infection developed in 7 cases and 5 of which were PT endoprosthesis cases. Three deep infections required early, two-stage revision and resulted in poor MSTS scores. We conclude that endoprosthesis replacement for primary bone tumours had early good to excellent functional outcome. There were no differences in functional outcomes when comparing distal femur endoprostheses with proximal tibia endoprostheses.http://www.morthoj.org/2013/v7n1/endoprosthesis-replacement.pdffunctional outcomebone tumourkneeand endoprosthesis
spellingShingle AR Sharil
AH Nawaz
MZ Nor Azman
W Zulmi
WI Faisham
Early Functional Outcome of Resection and Endoprosthesis Replacement for Primary Tumor around the Knee
Malaysian Orthopaedic Journal
functional outcome
bone tumour
knee
and endoprosthesis
title Early Functional Outcome of Resection and Endoprosthesis Replacement for Primary Tumor around the Knee
title_full Early Functional Outcome of Resection and Endoprosthesis Replacement for Primary Tumor around the Knee
title_fullStr Early Functional Outcome of Resection and Endoprosthesis Replacement for Primary Tumor around the Knee
title_full_unstemmed Early Functional Outcome of Resection and Endoprosthesis Replacement for Primary Tumor around the Knee
title_short Early Functional Outcome of Resection and Endoprosthesis Replacement for Primary Tumor around the Knee
title_sort early functional outcome of resection and endoprosthesis replacement for primary tumor around the knee
topic functional outcome
bone tumour
knee
and endoprosthesis
url http://www.morthoj.org/2013/v7n1/endoprosthesis-replacement.pdf
work_keys_str_mv AT arsharil earlyfunctionaloutcomeofresectionandendoprosthesisreplacementforprimarytumoraroundtheknee
AT ahnawaz earlyfunctionaloutcomeofresectionandendoprosthesisreplacementforprimarytumoraroundtheknee
AT mznorazman earlyfunctionaloutcomeofresectionandendoprosthesisreplacementforprimarytumoraroundtheknee
AT wzulmi earlyfunctionaloutcomeofresectionandendoprosthesisreplacementforprimarytumoraroundtheknee
AT wifaisham earlyfunctionaloutcomeofresectionandendoprosthesisreplacementforprimarytumoraroundtheknee