Patterns of improvement following oncologic reconstructrion compared to total knee arthroplasty and revision knee arthroplasty

Mai P Nguyen; Joseph A Buckwalter; Benjamin J Miller

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Patterns of improvement following oncologic reconstructrion compared to total knee arthroplasty and revision knee arthroplasty

Journal article

Open access

Peer reviewed

Patterns of improvement following oncologic reconstructrion compared to total knee arthroplasty and revision knee arthroplasty

Mai P Nguyen, Joseph A Buckwalter and Benjamin J Miller

The Iowa orthopaedic journal, Vol.31, pp.160-165

2011

PMCID: PMC3215130

PMID: 22096436

Appears in Diamond Open Access

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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3215130/View

Published (Version of record) Open Access

Abstract

Limb salvage surgery for primary malignant bone tumors of the lower limbs requires complete resection of the tumor, followed by a reconstruction to restore function. In contrast to the abundant information on total knee arthroplasty, data on the recovery pattern of limb salvage surgery is largely limited. With the aim of guiding patient expectations and optimizing care, we retrospectively compared the clinical outcomes among patients following oncologic knee reconstruction, primary total knee arthroplasty, and revision total knee arthroplasty. From January, 2001 to June, 2009, we identified a cohort of 503 primary total knee arthroplasties, 55 revision knee arthroplasties, and 15 oncologic reconstructions. Outcomes were assessed by the validated Short Form-36 (SF-36) health questionnaire. We found that oncologic patients significantly improved their Physical Component Score at one and minimum two-year follow up compared to baseline (p< 0.05) with the majority of improvement (90%) made within the first year following surgery. This is a similar pattern to that observed following primary and revision total knee arthroplasty.

Limb Salvage - rehabilitation

Limb Salvage - methods

Humans

Middle Aged

Reconstructive Surgical Procedures - methods

Male

Treatment Outcome

Bone Neoplasms - surgery

Reconstructive Surgical Procedures - rehabilitation

Young Adult

Adolescent

Arthroplasty, Replacement, Knee - methods

Adult

Arthroplasty, Replacement, Knee - rehabilitation

Bone Neoplasms - rehabilitation

Female

Aged

Retrospective Studies

Health Status

Child

Details

Title: Subtitle: Patterns of improvement following oncologic reconstructrion compared to total knee arthroplasty and revision knee arthroplasty
Creators: Mai P Nguyen - Department of Orthopaedics and Rehabilitation, University of Iowa Iowa City, IA, USA
Joseph A Buckwalter
Benjamin J Miller
Resource Type: Journal article
Publication Details: The Iowa orthopaedic journal, Vol.31, pp.160-165
PMID: 22096436
PMCID: PMC3215130
NLM abbreviation: Iowa Orthop J
ISSN: 1541-5457
eISSN: 1555-1377
Publisher: Dept. of Orthopaedics, The University of Iowa; United States
Language: English
Date published: 2011
Academic Unit: Stead Family Department of Pediatrics; Orthopedics and Rehabilitation; Injury Prevention Research Center
Record Identifier: 9984040315202771

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