TR
EN
Functional results of patients treated with modular prosthetic replacement
Öz
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.
Anahtar Kelimeler
Ayrıntılar
Birincil Dil
İngilizce
Konular
Sağlık Kurumları Yönetimi
Bölüm
Araştırma Makalesi
Yayımlanma Tarihi
18 Aralık 2008
Gönderilme Tarihi
10 Mayıs 2014
Kabul Tarihi
-
Yayımlandığı Sayı
Yıl 2008 Cilt: 42 Sayı: 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, ve 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 (01 Aralık 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, ve S. Memişoğlu, “Functional results of patients treated with modular prosthetic replacement”, Acta Orthopaedica et Traumatologica Turcica, c. 42, sy 4, ss. 238–245, Ara. 2008, [çevrimiçi]. Erişim adresi: 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 (01 Aralık 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, vd. “Functional results of patients treated with modular prosthetic replacement”. Acta Orthopaedica et Traumatologica Turcica, c. 42, sy 4, Aralık 2008, ss. 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]. 01 Aralık 2008;42(4):238-45. Erişim adresi: https://izlik.org/JA49MW32DH