Patient factors affecting the Toronto extremity salvage score following limb salvage surgery for bone and soft tissue tumors

2016 ◽  
Vol 113 (7) ◽  
pp. 804-810 ◽  
Author(s):  
Catriona Heaver ◽  
Antonia Isaacson ◽  
Jonathan J. Gregory ◽  
Gill Cribb ◽  
Paul Cool
2013 ◽  
Vol 5 (4) ◽  
pp. 233-238 ◽  
Author(s):  
Deng-xing Lun ◽  
Yong-cheng Hu ◽  
Hong-chao Huang

2012 ◽  
Vol 28 (6) ◽  
pp. 1984-1990 ◽  
Author(s):  
RUI NIIMI ◽  
AKIHIKO MATSUMINE ◽  
TAKAHIKO HAMAGUCHI ◽  
TOMOKI NAKAMURA ◽  
ATSUMASA UCHIDA ◽  
...  

Sarcoma ◽  
2014 ◽  
Vol 2014 ◽  
pp. 1-11 ◽  
Author(s):  
Sjoerd Kolk ◽  
Kevin Cox ◽  
Vivian Weerdesteyn ◽  
Gerjon Hannink ◽  
Jos Bramer ◽  
...  

Accurate predictions of functional outcome after limb salvage surgery (LSS) in the lower limb are important for several reasons, including informing the patient preoperatively and, in some cases, deciding between amputation and LSS. This study aimed to elucidate the correlation between surgeon-predicted and patient-reported functional outcome of LSS in the Netherlands. Twenty-three patients (between six months and ten years after surgery) and five independent orthopedic oncologists completed the Toronto Extremity Salvage Score (TESS) and the RAND-36 physical functioning subscale (RAND-36 PFS). The orthopedic oncologists made their predictions based on case descriptions (including MRI scans) that reflected the preoperative status. The correlation between patient-reported and surgeon-predicted functional outcome was “very poor” to “poor” on both scores (r2values ranged from 0.014 to 0.354). Patient-reported functional outcome was generally underestimated, by 8.7% on the TESS and 8.3% on the RAND-36 PFS. The most difficult and least difficult tasks on the RAND-36 PFS were also the most difficult and least difficult to predict, respectively. Most questions had a “poor” intersurgeon agreement. It was difficult to accurately predict the patient-reported functional outcome of LSS. Surgeons’ ability to predict functional scores can be improved the most by focusing on accurately predicting more demanding tasks.


Author(s):  
Keiko Hayakawa ◽  
Seiichi Matsumoto ◽  
Keisuke Ae ◽  
Taisuke Tanizawa ◽  
Yuki Funauchi ◽  
...  

2020 ◽  
Vol 16 (4) ◽  
pp. 238-245
Author(s):  
Suresh Pandey

Background: Limb salvage surgery with or without radiotherapy and/or chemotherapy is the mainstay of treatment of Soft Tissue Sarcoma (STS). Though, many studies are found regarding the demographics and result of such malignancy from other parts of the world, such data is not available from our country. This study aimed to analyze the demographic data and functional outcome of STS treated with limb salvage surgery. Methods: It is a retrospective review of 16 cases of soft tissue sarcoma of extremities and trunk managed with limb salvage surgery followed by adjuvant radiotherapy and/or chemotherapy in indicated cases from 2012 to 2017. Demographic data and functional score after 2 years of surgery were analysed and presented. Results: There were 14 male and 2 female cases of STS with mean age of 32.88 years. The most common STS was liposarcoma (37.5%) followed by rhabdomyosarcoma (25%) and synovial sarcoma (18.8%). Extremity and lower limb were the most common sites. Mean MSTS functional score at the last follow up was 24.56 (81.83%) with range from 19-29 (63.33%-96.66%). There were good to excellent results in 13 cases (81.25%) and moderate result in 3 cases (18.75%) according to MSTS functional score. There was positive correlation of MSTS with age, radiotherapy, chemotherapy and negative correlation with grade of tumor. Conclusions: This study showed good to excellent functional results in 81.25% of cases as per Musculoskeletal Tumor Society Score (MSTS) with positive correlation with radiotherapy, chemotherapy, age and negative correlation with grade of tumor.


2019 ◽  
Vol 119 (6) ◽  
pp. 708-716 ◽  
Author(s):  
Kelly M. Bridgham ◽  
Jad M. El Abiad ◽  
Zhen A. Lu ◽  
Deepa Bhat ◽  
Halley Darrach ◽  
...  

Author(s):  
Örjan Berlin ◽  
Bertil Stener ◽  
Lennart Angervall ◽  
Lars-Gunnar Kindblom ◽  
Anders Odén ◽  
...  

2008 ◽  
Vol 134 (10) ◽  
pp. 1087-1095 ◽  
Author(s):  
Rui Niimi ◽  
Akihiko Matsumine ◽  
Katsuyuki Kusuzaki ◽  
Shigeyuki Kuratsu ◽  
Nobuhito Araki ◽  
...  

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