[Evaluation of macroamputations of the upper extremity in the management of primary malignant bone and soft-tissue tumours using the DASH score]
| Autor: | A, Leithner, M, Glehr, S, Scheipl, R, Windhager |
|---|---|
| Jazyk: | němčina |
| Rok vydání: | 2008 |
| Předmět: |
Leiomyosarcoma
Male Time Factors Chondrosarcoma Artificial Limbs Bone Neoplasms Soft Tissue Neoplasms Amputation Surgical Disability Evaluation Sarcoma Synovial Surveys and Questionnaires Activities of Daily Living Humans Aged Retrospective Studies Aged 80 and over Sarcoma Middle Aged Magnetic Resonance Imaging Radiography Treatment Outcome Phantom Limb Patient Satisfaction Arm Female Follow-Up Studies Plasmacytoma |
| Zdroj: | Handchirurgie, Mikrochirurgie, plastische Chirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Handchirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Mikrochirurgie der Peripheren Nerven und Gefasse : Organ der V.... 40(1) |
| ISSN: | 0722-1819 |
| Popis: | The purpose of this retrospective analysis was to identify patients with macroamputations of the upper extremity due to malignant bone or soft-tissue tumours at a single institution. The German DASH score (Disability of Arm, Shoulder, Hand) was obtained in order to measure how patients manage their daily activities.Between 1998 and 2005, 1652 patients were operated due to a bone or soft-tissue tumour, 370 of these due to a malignant one (22 %). The tumour was localised in the lower extremity or in the pelvis in 246 cases, in the trunk in 38 and in the upper extremity in 86 cases. These 86 primary malignant tumours comprised 22 bone and 64 soft tissue tumours. Amputations had to be performed in the lower extremity in 14 % (35/246) and in the upper extremity in 7 % (6/86). Six patients with macroamputations of the upper extremity were identified and in five of these the DASH score was obtained.The mean DASH score for the module 1 (disability/symptom) was 75.1 points ([sum of responses - 30]/1.2), for module 2 (work) 92.4 ([sum of responses - 4]/0.16), and for module 3 (sports/performing arts) 90 points ([sum of responses - 4]/0.16). Only two patients worked again and only one played an instrument.Despite neo-/adjuvant therapeutic options and modified reconstructive procedures 7 % of patients with malignant bone or soft tissue tumours of the upper extremity had to undergo an amputation. The DASH score is an appropriate instrument to measure the disability after upper limb amputation due to tumour. |
| Databáze: | OpenAIRE |
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