Resection arthroplasty of the knee – early treatment outcomes and rehabilitation efficiency

Tomasz Pitera, G. Guzik, Piotr Biega, Marta Tarczyńska-Osiniak, K. Gawęda
{"title":"Resection arthroplasty of the knee – early treatment outcomes and rehabilitation efficiency","authors":"Tomasz Pitera, G. Guzik, Piotr Biega, Marta Tarczyńska-Osiniak, K. Gawęda","doi":"10.31139/CHNRIOP.2018.83.6.43","DOIUrl":null,"url":null,"abstract":"Introduction. Resection arthroplasty of the knee is frequently used in patients with bone tumours. Rehabilitation plays an important role in optimizing the functioning of the patients. The aim of this study was to asses treatment and physical performance outcomes after modular prosthesis surgery and to demonstrate rehabilitation methods. Material and methods. A total of 36 resections of the tumours localized in the knee joint region, followed by modular prosthetic replacement, were performed at the Orthopaedic Oncology Department in Brzozów between 2014-2016. Females accounted for 47% of the group. The mean age of the patients were 60 years (range: 36-78 years). All the patients were rehabilitated according to the own protocol. The physical performance was assessed using the MSTS. The intensity of pain was measured with the use of the VAS (Visual Analogue Scale). Results. 24 MUTARS and 12 GMRS prostheses were implanted. The implants were fixed with bone cement in 7 (20%) cases and cementless in 29 (80%) cases. Six weeks following surgery, the mean functional status was 21,6 points (72%), the mean pain intensity assessed with the VAS was 4,2 points and 19 (53%) patients could walk without aid of crutches and unassisted by others. Conclusions. Modular prosthesis implantation provides good functional results. The rehabilitation procedure presented in our study positively affects the functional outcome. Postoperative complications were scarce.","PeriodicalId":89713,"journal":{"name":"Polish orthopedics and traumatology","volume":"1 1","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2019-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"1","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Polish orthopedics and traumatology","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.31139/CHNRIOP.2018.83.6.43","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 1

Abstract

Introduction. Resection arthroplasty of the knee is frequently used in patients with bone tumours. Rehabilitation plays an important role in optimizing the functioning of the patients. The aim of this study was to asses treatment and physical performance outcomes after modular prosthesis surgery and to demonstrate rehabilitation methods. Material and methods. A total of 36 resections of the tumours localized in the knee joint region, followed by modular prosthetic replacement, were performed at the Orthopaedic Oncology Department in Brzozów between 2014-2016. Females accounted for 47% of the group. The mean age of the patients were 60 years (range: 36-78 years). All the patients were rehabilitated according to the own protocol. The physical performance was assessed using the MSTS. The intensity of pain was measured with the use of the VAS (Visual Analogue Scale). Results. 24 MUTARS and 12 GMRS prostheses were implanted. The implants were fixed with bone cement in 7 (20%) cases and cementless in 29 (80%) cases. Six weeks following surgery, the mean functional status was 21,6 points (72%), the mean pain intensity assessed with the VAS was 4,2 points and 19 (53%) patients could walk without aid of crutches and unassisted by others. Conclusions. Modular prosthesis implantation provides good functional results. The rehabilitation procedure presented in our study positively affects the functional outcome. Postoperative complications were scarce.
膝关节置换术早期治疗效果及康复效果
介绍。膝关节置换术常用于骨肿瘤患者。康复在优化患者功能方面发挥着重要作用。本研究的目的是评估模块化假体手术后的治疗和身体表现结果,并展示康复方法。材料和方法。2014-2016年间,在Brzozów骨科肿瘤科共进行了36例膝关节区域肿瘤切除术,随后进行了模块化假体置换术。其中女性占47%。患者平均年龄60岁(36-78岁)。所有患者均按照自己的治疗方案进行康复。使用MSTS评估身体性能。采用视觉模拟评分法(Visual Analogue Scale, VAS)评定疼痛程度。结果:共植入MUTARS假体24例,GMRS假体12例。骨水泥固定7例(20%),无骨水泥固定29例(80%)。术后6周,患者的平均功能状态为21.6分(72%),VAS评估的平均疼痛强度为4.2分,19例(53%)患者无需拐杖或他人辅助即可行走。结论。模块化假体植入具有良好的功能效果。在我们的研究中提出的康复程序积极影响功能结果。术后并发症很少。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
自引率
0.00%
发文量
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信