Early outcome of resection and endoprosthetic replacement of tumors around knee
Journal Title: Journal of the Indian Medical Association - Year 2018, Vol 116, Issue 5
Abstract
Juxtaarticular tumors around knee especially Giant Cell Tumors are common and pose a special problem in their reconstruction and management. Amputation is no longer the sole contribution of orthopaedic surgeon to its management. Improvement in design of endoprostheses and surgical reconstruction techniques together with advances in chemotherapeutic regimens have made limb salvage a viable alternative. The aim of the study was to evaluate the early results of endoprosthetic replacement around knee in terms of functional outcome and complication. In this case series we are here by presenting data of eight patients (five female, three male) with primary tumors around knee who were treated with wide local excision and megaendoprosthetic replacement. Functinal evaluation was done using the MSTS (Musculoskeletal Tumor Society) Scoring system. Complications if any were also analysed. The mean follow up period was 12 months (6-20 months).The final mean functional score was 79%. There were no instances of deep tissue infection, recurrence, aseptic loosening or death. Megaprosthetic reconstruction in limb salvage provides good functional outcome in patients with tumor around knee. The early results from patients have been encouraging.
Authors and Affiliations
Atanu Mohanty, Satyajeet Ray, Aditya Prasad Panda
Keywords
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