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Wien Klin Wochenschr ; 133(1-2): 14-20, 2021 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-33296025

RESUMEN

BACKGROUND: The aim of the study was to assess (1) sports activity, (2) sports involving the upper extremities, (3) functional outcome and (4) sports-related complications of long-term survivors of primary malignant bone tumors of the proximal humerus. METHODS: A total of 18 patients with an endoprosthetic reconstruction for primary malignant bone sarcoma of the proximal humerus (8 male, 10 female, mean age 19.9 ± 8.4 years, range 7.8-37.4 years) with an average follow-up of 18.1 ± 7.4 years (range 6.7-29.8 years) were included. The type of sport, frequency, duration of each sport session and the University of California, Los Angeles (UCLA) activity score were assessed before surgery, at 1 year, 3 years and at the latest follow-up. Functional outcome was assessed by the Toronto extremity salvage score (TESS). RESULTS: The mean UCLA activity score decreased from 8.0 (±1.3, range 5-9) preoperative to 4.2 (±1.7, range 3-8) at 1­year follow-up (p < 0.05). After 3 years it increased to 5.1 (±1.75, range 3-8) and further to 7 (±1.8, range 4-9) at the last follow-up. The mean postoperative TESS was 80.8 (±6.4, range 75.7-91.4) at the latest follow-up. Patients who were initially more active without reconstruction including a synthetic mesh were more likely to develop soft tissue complications accompanied by proximal endoprothesis migration. CONCLUSION: Patients with a modular endoprosthetic reconstruction of the humerus following primary bone sarcoma resume participation in sports. Regarding the low incidence of periprosthetic infections, utilization of a synthetic mesh for reconstruction to prevent soft tissue complications in active patients should be considered.


Asunto(s)
Neoplasias Óseas , Procedimientos de Cirugía Plástica , Sarcoma , Adolescente , Adulto , Neoplasias Óseas/cirugía , Niño , Femenino , Humanos , Húmero/diagnóstico por imagen , Húmero/cirugía , Recuperación del Miembro , Masculino , Estudios Retrospectivos , Sarcoma/cirugía , Sobrevivientes , Resultado del Tratamiento , Adulto Joven
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