TR
EN
Functional results of patients treated with modular prosthetic replacement
Abstract
Objectives: We evaluated functional results of patients who were treated with cemented modular prosthetic replacement for bone tumors of the extremities.
Methods: The study included 23 patients (12 males, 11 females; 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 period was 24 months (range 1 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, 11 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.
Methods: The study included 23 patients (12 males, 11 females; 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 period was 24 months (range 1 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, 11 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.
Keywords
Details
Primary Language
English
Subjects
Health Care Administration
Journal Section
Research Article
Publication Date
December 18, 2008
Submission Date
May 10, 2014
Acceptance Date
-
Published in Issue
Year 2008 Volume: 42 Number: 4
APA
Yalnız, E., Çiftdemir, M., & Memişoğlu, S. (2008). Functional results of patients treated with modular prosthetic replacement. Acta Orthopaedica et Traumatologica Turcica, 42(4), 238-245. https://izlik.org/JA49MW32DH
AMA
1.Yalnız E, Çiftdemir M, Memişoğlu S. Functional results of patients treated with modular prosthetic replacement. Acta Orthopaedica et Traumatologica Turcica. 2008;42(4):238-245. https://izlik.org/JA49MW32DH
Chicago
Yalnız, Erol, Mert Çiftdemir, and Serdar Memişoğlu. 2008. “Functional Results of Patients Treated With Modular Prosthetic Replacement”. Acta Orthopaedica et Traumatologica Turcica 42 (4): 238-45. https://izlik.org/JA49MW32DH.
EndNote
Yalnız E, Çiftdemir M, Memişoğlu S (December 1, 2008) Functional results of patients treated with modular prosthetic replacement. Acta Orthopaedica et Traumatologica Turcica 42 4 238–245.
IEEE
[1]E. Yalnız, M. Çiftdemir, and S. Memişoğlu, “Functional results of patients treated with modular prosthetic replacement”, Acta Orthopaedica et Traumatologica Turcica, vol. 42, no. 4, pp. 238–245, Dec. 2008, [Online]. Available: https://izlik.org/JA49MW32DH
ISNAD
Yalnız, Erol - Çiftdemir, Mert - Memişoğlu, Serdar. “Functional Results of Patients Treated With Modular Prosthetic Replacement”. Acta Orthopaedica et Traumatologica Turcica 42/4 (December 1, 2008): 238-245. https://izlik.org/JA49MW32DH.
JAMA
1.Yalnız E, Çiftdemir M, Memişoğlu S. Functional results of patients treated with modular prosthetic replacement. Acta Orthopaedica et Traumatologica Turcica. 2008;42:238–245.
MLA
Yalnız, Erol, et al. “Functional Results of Patients Treated With Modular Prosthetic Replacement”. Acta Orthopaedica et Traumatologica Turcica, vol. 42, no. 4, Dec. 2008, pp. 238-45, https://izlik.org/JA49MW32DH.
Vancouver
1.Erol Yalnız, Mert Çiftdemir, Serdar Memişoğlu. Functional results of patients treated with modular prosthetic replacement. Acta Orthopaedica et Traumatologica Turcica [Internet]. 2008 Dec. 1;42(4):238-45. Available from: https://izlik.org/JA49MW32DH