Long-Term Outcomes of Rotationplasty patients in the treatment of lower extremity sarcomas with cost analysis

Courtney Grimsrud; Cameron Killen; Michael Murphy; Hongmei Wang; Sean McGarry

doi:10.1016/j.jcot.2019.06.003

Long-Term Outcomes of Rotationplasty patients in the treatment of lower extremity sarcomas with cost analysis

J Clin Orthop Trauma. 2020 Feb;11(Suppl 1):S149-S152. doi: 10.1016/j.jcot.2019.06.003. Epub 2019 Jun 5.

Authors

Courtney Grimsrud¹, Cameron Killen², Michael Murphy², Hongmei Wang³, Sean McGarry¹

Affiliations

¹ University of Nebraska Medical Center, Department of Orthopaedic Surgery & Rehabilitation, 985640 Nebraska Medical Center, Omaha, NE, 68198-5640, USA.
² Loyola University Chicago, Department of Orthopaedic Surgery and Rehabilitation (Academic Office), Maguire Center, Suite 1700, 2160 South First Avenue, Maywood, IL, 60153, USA.
³ University of Nebraska Medical Center, College of Public Health, 984350 Nebraska Medical Center, Omaha, NE, 68198-4350, USA.

Abstract

Objective: There are many options for restoration of function in treating lower extremity sarcomas in young children. The trend has moved towards the use of expandable prosthetics for treatment; however, this has been fraught with complications and expense. The aim of this study was to assess long-term functional outcome scores and emotional satisfaction of rotationplasty and megaprosthesis patients compared to the general population.

Methods: Surveys querying surviving members of a rotationplasty cohort from our institution were sent out including MSTS, TESS and Rand SF-36 questionnaires. Demographic information, surgical intervention, disease status and length of follow-up were collected.

Results: The average MSTS score of the eight respondents available and who agreed to participate in the study was 65.4%. The average TESS was 90.0%. The results of our eight respondents showed Rand SF-36 results with norm-based scoring averages of 46.4 for physical health and 55.6 for mental health. In this study, the patients who were alive with no evidence of disease averaged greater than eighteen-years of follow-up.

Conclusion: Patients functioned well relative to their peers when in an appropriate prosthesis. Patients were emotionally satisfied with rotationplasty and functioned in-line with the general population physically and mentally.

Keywords: Megaprosthesis; Rotationplasty; Sarcomas.