Does limb-salvage surgery offer patients better quality of life and functional capacity than amputation?
Clin Orthop Relat Res
; 470(7): 2000-6, 2012 Jul.
Article
em En
| MEDLINE
| ID: mdl-22302658
ABSTRACT
INTRODUCTION:
Patients with aggressive lower extremity musculoskeletal tumors may be candidates for either above-knee amputation or limb-salvage surgery. However, the subjective and objective benefits of limb-salvage surgery compared with amputation are not fully clear. QUESTIONS/PURPOSES:
We therefore compared functional status and quality of life for patients treated with above-knee amputation versus limb-salvage surgery.METHODS:
We reviewed 20 of 51 patients aged 15 years and older treated with above-knee amputation or limb-salvage surgery for aggressive musculoskeletal tumors around the knee between 1994 and 2004 as a retrospective cohort study. At last followup we obtained the Physiological Cost Index, the Reintegration to Normal Living Index, SF-36, and the Toronto Extremity Salvage Score questionnaires. The minimum followup was 12 months (median, 56 months; range, 12-108 months).RESULTS:
Compared with patients having above-knee amputation, patients undergoing limb-salvage surgery had superior Physiological Cost Index scores and Reintegration to Normal Living Index. The Toronto Extremity Salvage scores and SF-36 scores were similar in the two groups.CONCLUSION:
These data suggest that limb-salvage surgery offers better gait efficiency and return to normal living compared with above-knee amputation, but does not improve the patient's perception of quality of life.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Qualidade de Vida
/
Neoplasias de Tecidos Moles
/
Neoplasias Ósseas
/
Salvamento de Membro
/
Extremidade Inferior
/
Amputação Cirúrgica
/
Amputados
Tipo de estudo:
Observational_studies
/
Qualitative_research
Limite:
Adolescent
/
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
País/Região como assunto:
America do norte
Idioma:
En
Revista:
Clin Orthop Relat Res
Ano de publicação:
2012
Tipo de documento:
Article
País de afiliação:
Estados Unidos