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Hematol Oncol Stem Cell Ther. 2013 Sep-Dec;6(3-4):105-11. doi: 10.1016/j.hemonc.2013.09.001. Epub 2013 Oct 24.

Standardization of rehabilitation after limb salvage surgery for sarcomas improves patients' outcome.

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  • 1Section of Orthopedic Oncology, King Hussein Cancer Center, Amman, Jordan. Electronic address: ashehadeh@khcc.jo.

Abstract

BACKGROUND AND OBJECTIVE:

The purpose of this study is to establish a standardized postoperative rehabilitation protocol following limb salvage surgery (LSS) in patients with primary bone sarcoma in five major anatomical locations: distal femur, proximal tibia, proximal and total femur, humerus and shoulder girdle and pelvic resections.

SETTING AND DESIGN:

Retrospective study.

PATIENTS AND METHODS:

All LSSs were performed by an orthopedic oncology surgeon, and rehabilitation of all patients was based on a devised standardized rehabilitation protocol. Patient outcomes were measured using the modified Musculoskeletal Tumor Society-International Symposium on the Limb Salvage (MSTS-ISOLS) scoring system.

RESULTS:

A total of 59 patients received LSS in the above mentioned locations; endoprostheses were used in 49, bone allograft in five, while no replacements were made in five patients. At a mean follow-up of 24 months, the mean modified MSTS-ISOLS score for all patients was 87% (95% CI; 0.85-0.89). The highest scores were encountered for patients with distal femur replacement: 93% (95% CI; 0.91-0.95). Seven patients had interruption of more than six weeks in their rehabilitation and had a mean score of 71% (95% CI; 0.64-0.82).

CONCLUSION:

The proposed rehabilitation protocol is a comprehensive, organized and applicable guideline to be used after performing LSS at the above mentioned anatomical locations. The use of standardized rehabilitation protocol resulted in improved patient functional outcome.

Copyright © 2013 King Faisal Specialist Centre & Research Hospital. All rights reserved.

KEYWORDS:

Limb salvage surgery; Protocol; Rehabilitation; Sarcoma

PMID:
24161605
[PubMed - indexed for MEDLINE]
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