Function and Upright Time Following Limb Salvage, Amputation, and Rotationplasty for Pediatric Sarcoma of Bone
- 1 May 2006
- journal article
- Published by Ovid Technologies (Wolters Kluwer Health) in Journal of Pediatric Orthopaedics
- Vol. 26 (3), 405-408
- https://doi.org/10.1097/01.bpo.0000203016.96647.43
Abstract
We wished to determine the relative physical and psychosocial merits of limb-sparing reconstruction, above-knee amputation, and rotationplasty in survivors of childhood and adolescent lower extremity bone sarcoma. In comparing minimum 5-year disease-free survivors, we found that outcome was somewhat dependent on the measuring tool administered. A superior score of statistical significance on the system of evaluation of the Musculoskeletal Tumour Society and a trend toward higher Toronto Extremity Salvage Scores were found among patients with a limb-sparing reconstruction compared with those with an above-knee amputation. Short-Form 36 results and the amount of time spent in the upright position (uptime), as assessed with a remote activity monitor, were similar between these groups. Uptime was highest in patients who had undergone rotationplasty, although statistical assessment of this group was not feasible. Psychosocial outcome was similar between all groups. This information may be useful in discussing reconstruction with patients and their families.Keywords
This publication has 19 references indexed in Scilit:
- An examination of outcome measures to assess functional mobility in childhood survivors of osteosarcomaPediatric Blood & Cancer, 2003
- Amputation oder Extremitätenerhalt?Der Orthopäde, 2003
- Variability in the measurement of uptime in children: a preliminary studyClinical Rehabilitation, 2003
- Rotationplasty--quality of life after 10 years in 22 patientsActa Orthopaedica, 2002
- Functional outcome in amputation versus limb sparing of patients with lower extremity sarcoma: A matched case-control studyArchives Of Physical Medicine and Rehabilitation, 1999
- Limb Salvage and Outcome of OsteosarcomaPublished by Ovid Technologies (Wolters Kluwer Health) ,1999
- Rotationplasty in Skeletally Immature PatientsPublished by Ovid Technologies (Wolters Kluwer Health) ,1999
- An Educational Intervention to Improve Health Knowledge and Behavior in Childhood Cancer SurvivorsJournal of Pediatric Oncology Nursing, 1998
- Development of a measure of physical function for patients with bone and soft tissue sarcomaQuality of Life Research, 1996
- Complications Associated With Limb Salvage for Extremity Sarcomas and Their ManagementPublished by Ovid Technologies (Wolters Kluwer Health) ,1990