Functional outcome after surgery in patients with bone sarcoma around the knee; results from a long‐term prospective study

Background and Objectives In a previous conducted study functional outcome of young patients with bone sarcoma located around the knee was longitudinally evaluated during the first 2 years postoperatively. Functional outcome improved significantly over the first 2 years. The purpose of this descript...

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Bibliographic Details
Published in:Journal of surgical oncology 2017-06, Vol.115 (8), p.1028-1032
Main Authors: van Egmond‐van Dam, Janneke C., Bekkering, W. Peter, Bramer, Jos A.M., Beishuizen, Auke, Fiocco, Marta, Dijkstra, P.D. Sander
Format: Article
Language:English
Subjects:
Adolescent
Adult
Bone cancer
Bone Neoplasms - mortality
Bone Neoplasms - pathology
Bone Neoplasms - surgery
Cancer surgery
Child
Female
Follow-Up Studies
follow‐up
functional outcome
Humans
Knee
Knee Joint
Limb Salvage
Male
malignant bone sarcoma
Osteosarcoma - mortality
Osteosarcoma - pathology
Osteosarcoma - surgery
Prospective Studies
Recovery of Function
Sarcoma
Time Factors
Treatment Outcome
Walking
Young Adult
young patients
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Summary:Background and Objectives In a previous conducted study functional outcome of young patients with bone sarcoma located around the knee was longitudinally evaluated during the first 2 years postoperatively. Functional outcome improved significantly over the first 2 years. The purpose of this descriptive study was to evaluate the functional outcome of these patients at long‐term follow‐up of 7 years. Methods Functional outcome was assessed with the TESS, MSTS, Baecke questionnaire, and three functional performance tests: time up and down stairs (TUDS), various walking activities (VWA), and the 6‐min walking test (6MWT). Linear Mixed Model has been employed for the repeated measurements. Results Twenty patients of the original study (n = 44) participated in the current study. Fifteen limb‐salvage and five ablative surgery patients, median follow‐up 7.4 years (6.8‐8.0) (CI 95%), mean age 22.3 years (18.2‐31.6). Between 2 and 7 years after surgery, 8 limb‐salvage patients (53%) encountered surgery related complications. Questionnaires and functional performance tests showed no significant difference in functional outcome between 2 years and 7 years after surgery (P 
ISSN:0022-4790
1096-9098
DOI:10.1002/jso.24618