TY - JOUR
T1 - Internal and external hemipelvectomy or flail hip in patients with sarcomas quality-of-life and functional outcomes
AU - Griesser, Michael J.
AU - Gillette, Blake
AU - Crist, Martha
AU - Pan, Xueliang
AU - Muscarella, Peter
AU - Scharschmidt, Thomas
AU - Mayerson, Joel
PY - 2012/2
Y1 - 2012/2
N2 - Objective: We evaluated the quality-of-life of patients who have had an internal hemipelvectomy with and without (flail hip) prosthetic reconstruction and external hemipelvectomy. Design: We reviewed the cases of 15 patients who had undergone either internal or external hemipelvectomy for tumor. Fifteen patients who were previously treated operatively with either a type II periacetabular internal (n = 5) or external (n = 10) hemipelvectomy were evaluated using the Toronto Extremity Salvage Score (TESS), Musculoskeletal Tumor Society (MSTS), and the 36-item Short-Form Health Survey. There were 11 (73%) men and 4 (27%) women in the study, with a mean age at operation of 46.9 T 18.0 yrs (range, 18Y69 yrs). Results: Follow-up was 30.6 T 19.6 mos (range, 6Y70 mos). Overall mean MSTS score was 45.2 (range, 6.7 to 83.3), and TESS score was 60.4 T 16.1 (range, 31.8Y88.0). The 36-item Short-Form Health Survey physical component score results were lower than the general population. TESS and MSTS were all positively correlated to physical component score. There were no significant influences of postsurgery time on MSTS, TESS, or physical component score. Age had a negative correlation with physical function. Conclusions: Quality-of-life and functional outcome were significantly reduced for patients with internal and external hemipelvectomies on the TESS, MSTS, and the 36-item Short-Form Health Survey physical component scores.
AB - Objective: We evaluated the quality-of-life of patients who have had an internal hemipelvectomy with and without (flail hip) prosthetic reconstruction and external hemipelvectomy. Design: We reviewed the cases of 15 patients who had undergone either internal or external hemipelvectomy for tumor. Fifteen patients who were previously treated operatively with either a type II periacetabular internal (n = 5) or external (n = 10) hemipelvectomy were evaluated using the Toronto Extremity Salvage Score (TESS), Musculoskeletal Tumor Society (MSTS), and the 36-item Short-Form Health Survey. There were 11 (73%) men and 4 (27%) women in the study, with a mean age at operation of 46.9 T 18.0 yrs (range, 18Y69 yrs). Results: Follow-up was 30.6 T 19.6 mos (range, 6Y70 mos). Overall mean MSTS score was 45.2 (range, 6.7 to 83.3), and TESS score was 60.4 T 16.1 (range, 31.8Y88.0). The 36-item Short-Form Health Survey physical component score results were lower than the general population. TESS and MSTS were all positively correlated to physical component score. There were no significant influences of postsurgery time on MSTS, TESS, or physical component score. Age had a negative correlation with physical function. Conclusions: Quality-of-life and functional outcome were significantly reduced for patients with internal and external hemipelvectomies on the TESS, MSTS, and the 36-item Short-Form Health Survey physical component scores.
KW - Cancer
KW - Hemipelvectomy
KW - Outcome
KW - Quality-of-life
KW - Sarcoma
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U2 - 10.1097/PHM.0b013e318232885a
DO - 10.1097/PHM.0b013e318232885a
M3 - Article
C2 - 22042339
AN - SCOPUS:84856246078
SN - 0894-9115
VL - 91
SP - 24
EP - 32
JO - American Journal of Physical Medicine and Rehabilitation
JF - American Journal of Physical Medicine and Rehabilitation
IS - 1
ER -