A functional analysis of massive knee replacement after extra-articular resections of primary bone tumors
A functional analysis of massive knee replacement after extra-articular resections of primary bone tumors
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DOI：
10.1054/arth.2000.8104
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发表时间：
2000-09-01
影响因子：
3.5
通讯作者：
Cannon, SR
中科院分区：
文献类型：
--
作者：
Kendall, PJH;Singer, GC;Cannon, SR
我们对原发性骨肿瘤关节外切除后大量膝关节置换术进行了功能分析。与接受关节内切除术的患者相比，患者在肌肉骨骼肿瘤协会评分和膝关节协会评分(P小于或等于0.01)上得分不高。情感接纳得分较低(P<0.01)。功能限制(P<0.05)、步行距离(P<0.05)。和管理楼梯(P小于或等于0.05)。这些患者有明显更大的伸展滞后(P小于或等于0.01)和更大的固定屈曲(P小于或等于0.05)。这一功能缺陷主要是由于达到充分切除肿瘤所必需的手术切除所固有的伸肌机制受损所致。
We performed a functional analysis of massive knee replacements after extra-articular resection of primary bone tumors. Patients did not score as highly on the Musculoskeletal Tumour Society Score and Knee Society Score (P less than or equal to .01) as patients who had undergone intra-articular resection. Lower scores were achieved for emotional acceptance (P less than or equal to .01 ). functional restriction (P less than or equal to .05), walking distance (P less than or equal to .05). and managing stairs (P less than or equal to .05). These patients had a significantly greater extension lag (P less than or equal to .01) and greater fixed flexion (P less than or equal to .05). This functional deficit is primarily due to a compromised extensor mechanism inherent in the type of surgical resection necessary to achieve adequate removal of the tumor.