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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Format: | Article |
Language: | English |
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Malaysian Orthopaedic Association
2013-03-01
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Series: | Malaysian Orthopaedic Journal |
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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. |
first_indexed | 2024-12-19T13:39:04Z |
format | Article |
id | doaj.art-cd92122b3b82444ebd4a0e0f15a09f9e |
institution | Directory Open Access Journal |
issn | 1985-2533 |
language | English |
last_indexed | 2024-12-19T13:39:04Z |
publishDate | 2013-03-01 |
publisher | Malaysian Orthopaedic Association |
record_format | Article |
series | Malaysian Orthopaedic Journal |
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 |