Effectiveness of Salvage Knee Rotationplasty on Sarcoma Around the Knee in Adolescents and Young Adults
Effectiveness of Salvage Knee Rotationplasty on Sarcoma Around the Knee in Adolescents and Young Adults
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DOI：
10.21873/anticanres.14860
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发表时间：
2021-01
影响因子：
2
通讯作者：
Hideyuki Kinoshita;T. Yonemoto;H. Kamoda;Y. Hagiwara;T. Tsukanishi;M. Inoue;Fumihide Terakawa;S. Ohtori;T. Ishii
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文献类型：
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作者：
Hideyuki Kinoshita;T. Yonemoto;H. Kamoda;Y. Hagiwara;T. Tsukanishi;M. Inoue;Fumihide Terakawa;S. Ohtori;T. Ishii
背景/目的：本研究旨在探讨膝关节旋转成形术(KRP)作为挽救青少年和青壮年膝关节周围肉瘤(AYA)术后感染失控和全膝关节置换术(TKA)失败的有效方法。患者和方法：这项回顾性队列研究包括33名接受Krp手术的患者，并根据所接受的治疗进行分组：膝关节周围肉瘤的初始手术(n=18)或抢救手术(n=15)。分析肌肉骨骼肿瘤协会(MSTS)评分、关节活动度(ROM值)及术后结果。结果：15例Krp患者均以全膝关节置换术为首次手术。术中发生感染5例，均可控，无一例种植失败。两组患者的MSTS评分和关节活动度均可接受。结论：对于膝关节周围肉瘤首次全膝关节置换术中未控制的并发症，保留Krp是有效的选择。
Background/Aim: This study aimed to investigate the effectiveness of knee rotationplasty (KRP) as salvage surgery for uncontrolled infection and implant failure of total knee arthroplasty (TKA) for sarcoma around the knee in adolescents and young adults (AYA). Patients and Methods: This retrospective cohort study included 33 patients who underwent KRP and were grouped based on the treatment received: initial surgery for sarcoma around the knee (n=18) or as salvage surgery (n=15). Musculoskeletal Tumor Society (MSTS) score, range of motion (ROM) and postoperative results were analyzed. Results: All 15 patients who underwent salvage KRP had TKA as an initial surgery. Although there were five infections in salvage KRP, which originated from the initial TKA, all cases were controllable, no implant failure occurred. MSTS score and ROM were deemed acceptable in both groups. Conclusion: Salvage KRP is an effective option for uncontrolled complications of initial TKA for sarcoma around the knee.