Functional Outcome of Custom-Built Fixed Hinged Prosthesis for Tumors around the Knee.
Journal Title: Journal of Pakistan Orthopaedic Association - Year 2021, Vol 33, Issue 03
Abstract
Objective: The determine the functional outcome of custom-built fixed hinged prosthesis for tumors around the knee. Methods: This descriptive study was conducted in Department of Orthopedics & Spine Surgery Ghurki Trust Teaching Hospital Lahore from 3rd January 2015 to 3rd January 2021.All adults patients of either gender and age with tumours of distal femur,proximal tibia or both fulfilling the inclusion criteria were operated for custom-built fixed hinged prosthesis.Post operative functional outcome was determined using Musculoskeletal Tumor Society(MSTS) system and results were graded as excellent(75-100%), moderate (70-74%), Good (60-69%), Fair(50-59%) and Poor (<50%) outcome.Functional outcome was compared for type of tumor,gender and site of tumour and P value calculated with simple Pearson Chi-Square test.P value<0.05 was considered significant. Results: A total of 34 patients were included in our study.The mean age was 30.65±14.23 years.Male patients were 23(67.6%) and female 11(32.4%). Osteosarcoma was present in 25(73.5%) patients,Giant cell tumour in 5(14.7%) and Ewing Sarcoma in 4(11.8%). Tumor involvement of the distal femur was present in 25(73.5%), proximal tibia in 7(20.6%) and both femur and tibia in 2(5.9%) patients. The mean Musculoskeletal Tumor Society(MSTS) score at 2.5 years was 73%(range 34% to 95%).Excellent functional outcome was noted in 22(64.7%), moderate in 2(5.9%),good in 7(20.6%), fair in 1(2.9%) and poor in 1(2.5%). No significant difference was noted when functional outcome was compared for gender,type of tumour,stage of tumor,location of tumor, side of tumor and type of stem fixation (P>0.05). Conclusion: Custom-built fixed hinge prosthesis for tumors around the knee yielded excellent functional results in majority of our patients. We found custom build fixed hinged endoprosthetic reconstruction safe and effective technique for limb salvage in cases of distal femur and proximal tibia tumors.
Authors and Affiliations
Hizbullah Riaz Ansari1, Araib Ghega2,Majid Zaheer3,Ashfaq Ahmed4,Rizwan Akram5, Atiq uz Zaman6, Amer Aziz7
Keywords
Related Articles
- EP ID EP741326
- DOI -
- Views 15
- Downloads 0
Sensitivity and Specificity of Magnetic Resonance Imaging (MRI) in Diagnosing Meniscal Tears of the Knee.
Objective: To assess the sensitivity and specificity of MRI in diagnosing meniscal injuries at a tertiary care center in Karachi, catering to patients from across Pakistan. Methods: A cross sectional study was co...
Functional and Radiological Outcome of Minimal Invasive Plate Osteosynthesis for Fractures of Tibia
To determine the outcome of closed proximal and distal tibia fractures managed by minimal invasive plate osteosynthesis (MIPO). Material and Methods: This descriptive study of 18 patients was conducted from June 2013...
A subjective comparative analysis of quality of Short Answer Questions(SAQ) Items between Orthopedics and Other specialties used in internal examinations in MBBS course in Medical College of Lahore
ABSTRACT Objective: To compare the subjective quality of various items used in short answer questions (SAQ) papers between Orthopaedics and other specialties used in internal examinations in MBBS course in a Medical Col...
Orthopaedic Approach in Patients with Multiple Injuries
Polytrauma is the result of high energy trauma and presents itself as damage to multiple systems of the body. Fractures frequently exist. The presence of femoral and pelvic fractures is alarming and presents a great chal...
Comparison of 3 ml vs. 5 ml Local Injection of Lignocaine in Closed Reduction of Colles’ Fracture
Objective: To compare the efficacy of 3 ml vs. 5 ml lignocaine given locally in closed reduction of Colles’ fracture. Methods: Prospective randomized control trial was performed from July 2015 to December 2015. Patien...