Newsletter
Language
Language:
 
News
Archival Issues
Volume 19, 2017
Volume 18, 2016
Volume 17, 2015
Volume 16, 2014
Volume 15, 2013
Volume 14, 2012
Volume 13, 2011
Volume 12, 2010
Volume 11, 2009
Volume 10, 2008
Volume 9, 2007
Volume 8, 2006
Volume 7, 2005
Volume 6, 2004
Volume 5, 2003
Volume 4, 2002
Volume 3, 2001
Volume 2, 2000
Volume 1, 1999
Search
 » 
Journal Abstract
 
Comparison of Quality of Life of Patients after Hip Disarticulation and Those after Stump Lengthening with Modular Prosthesis
Grzegorz Guzik
Ortop Traumatol Rehabil 2017; 19(2):157-164
ICID: 1238003
Article type: Original article
IC™ Value: 3.00
Abstract provided by Publisher
 
Background. Disarticulation has been used less and less often in the treatment of musculoskeletal neoplasms; however, in some cases it allows the patient to achieve good oncological and functional outcomes. The aim of this paper is to present the possibilities, surgical technique and treatment outcomes of patients after hip disarticulation and stump lengthening with a modular prosthesis.
Material and methods. Three classic hip disarticulation surgeries and 2 hip disarticulation procedures with stump lengthening with a modular prosthesis were performed at the Department of Oncological Orthopaedics in Brzozów in 2013 and 2014. The present paper discusses the indications, surgical technique and outcomes. Pain intensity was assessed in a VAS scale and physical function was measured with the Karnofsky scale. The mental status of the patients was analysed in the Beck Depression Inventory and the ability to perform daily living activities was evaluated according to Katz. The ability to walk after surgery was assessed.
Results. Patients after hip disarticulation showed considerably worse functional outcomes. The mean physical function score was 53 points in the Karnofsky scale and 3.33 points in the Katz scale. The patients had difficulty walking and did not ambulate with their prostheses. They reported problems with sitting and using the toilet. Patients with lengthened stumps showed visibly better physical function scores, achieving, on average, 65 points in the Karnofsky scale and 5.5 points in the Katz scale. These patients used their prostheses, ambulated efficiently and were independent.
Conclusions. 1. Stump lengthening after hip disarticulation through the preparation of long flaps and implantation of a custom-made femoral prosthesis significantly improves physical function and the quality of life of patients. 2. Prior to performing disfiguring surgery (disarticulation), the possibilities for modifying the surgical procedure should be considered, as this may considerably improve the patient’s functional status.


ICID 1238003

DOI 10.5604/15093492.1238003
 
FULL TEXT 632 KB


Related articles
  • in IndexCopernicus™
         protezy modularne [0 related records]
         guzy kości [1 related records]
         Disarticulation [2 related records]
         limb amputation [1 related records]
         modular prostheses [0 related records]
         operative treatment [48 related records]
         bone tumors [10 related records]


  •  

    Copyright © Ortopedia Traumatologia Rehabilitacja  2017
    Page created by Index Copernicus Ltd. All Rights reserved.