Effectiveness of Salvage Knee Rotationplasty on Sarcoma Around the Knee in Adolescents and Young Adults
| Autor: | Takeshi Ishii, Yoko Hagiwara, Hideyuki Kinoshita, Hiroto Kamoda, Tsukasa Yonemoto, Fumihide Terakawa, Toshinori Tsukanishi, Masahiro Inoue, Seiji Ohtori |
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| Rok vydání: | 2021 |
| Předmět: |
Adult
Male Reoperation musculoskeletal diseases Cancer Research medicine.medical_specialty Prosthesis-Related Infections Adolescent Rotation Total knee arthroplasty Prosthesis Design Young Adult medicine Humans Knee Range of Motion Articular Young adult Arthroplasty Replacement Knee Retrospective Studies business.industry Rotationplasty Implant failure Sarcoma Retrospective cohort study General Medicine Limb Salvage musculoskeletal system medicine.disease Prosthesis Failure Surgery Treatment Outcome Oncology Female Salvage surgery Range of motion business |
| Zdroj: | Anticancer Research. 41:1041-1046 |
| ISSN: | 1791-7530 0250-7005 |
| Popis: | Background/aim This study aimed to investigate the effectiveness of knee rotationplasty (KRP) as salvage surgery for uncontrolled infection and implant failure of total knee arthroplasty (TKA) for sarcoma around the knee in adolescents and young adults (AYA). Patients and methods This retrospective cohort study included 33 patients who underwent KRP and were grouped based on the treatment received: initial surgery for sarcoma around the knee (n=18) or as salvage surgery (n=15). Musculoskeletal Tumor Society (MSTS) score, range of motion (ROM) and postoperative results were analyzed. Results All 15 patients who underwent salvage KRP had TKA as an initial surgery. Although there were five infections in salvage KRP, which originated from the initial TKA, all cases were controllable, no implant failure occurred. MSTS score and ROM were deemed acceptable in both groups. Conclusion Salvage KRP is an effective option for uncontrolled complications of initial TKA for sarcoma around the knee. |
| Databáze: | OpenAIRE |
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