Distal Humeral Replacement in Patients with Primary Bone Sarcoma: The Functional Outcome and Return to Sports
Abstract
:Simple Summary
Abstract
1. Introduction
2. Materials and Methods
2.1. Surgical and Implant Details
2.2. Data Collection
2.3. Functional Outcome
2.4. Return to Sports Activities
2.5. Statistical Analysis
3. Results
3.1. Functional Outcome
3.2. Return to Sports Activities
3.3. Beneficial and Limiting Factors
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Variable | n (%) |
---|---|
Gender | |
Female | 4 (40%) |
Male | 6 (60%) |
Tumor entity | |
Osteosarcoma | 4 (40%) |
Ewing sarcoma | 3 (30%) |
Recurrent giant cell tumor with joint involvement | 2 (20%) |
NOS | 1 (10%) |
Affected upper extremity | |
Dominant | 8 (80%) |
Non-dominant | 2 (20%) |
Intraoperative nerve resection | |
Yes | 2 (20%) |
No | 8 (80%) |
Type of tumor resection | |
Intra-articular | 6 (60%) |
Extra-articular | 4 (40%) |
Chemotherapy | |
Yes | 8 (80%) |
No | 2 (20%) |
Radiotherapy | |
Yes | 3 (30%) |
No | 7 (70%) |
Revision surgery | |
Yes | 6 (60%) |
No | 4 (40%) |
Impact | Type of Sports Activity |
---|---|
Low | Cycling, Nordic walking, hiking |
Medium | Running |
High | Endurance training, soccer, weightlifting, volleyball, handball |
Patient | Prior Diagnosis | At the Last Follow-Up |
---|---|---|
1 | Cycling | Cycling |
2 | Swimming, cycling | Cycling |
3 | Cycling, running, swimming, gymnastics | Cycling, Nordic walking |
4 | Running, cycling, hiking | Running, cycling, hiking |
5 | Endurance training, weight lifting | - |
6 | Volleyball, cycling | Running, cycling |
7 | Running | - |
8 | Dancing | Running, hiking |
9 | Cycling | Cycling |
10 | Handball, football | - |
Factors | Yes | No | p-Value |
---|---|---|---|
Male | MSTS: 19 (IQR 11–25) | MSTS: 19 (IQR 13–25) | p = 1.000 |
TESS: 76% (IQR 66–82) | TESS: 83% (IQR 63–88) | p = 0.610 | |
SEV: 30% (IQR 18–53) | SEV: 45% (IQR 33–58) | p = 0.352 | |
TS: 6 (IQR 5–6) | TS: 5 (IQR 4–7) | p = 0.914 | |
WAS: 5 (IQR 1–15) | WAS: 3 (IQR 1–4) | p = 0.476 | |
Dominant extremity | MSTS: 19 (IQR 13–25) | MSTS: 19 (IQR 13–24) | p = 1.000 |
TESS: 80% (IQR 72–87) | TESS: 65% (IQR 58–72) | p = 0.267 | |
SEV: 38% (IQR 26–58) | SEV: 35% (IQR 20–50) | p = 0.711 | |
TS: 6 (IQR 4–7) | TS: 5 (IQR 4–7) | p = 1.000 | |
WAS: 3 (IQR 1–10) | WAS: 4 (IQR 1–7) | p = 1.000 | |
Intraoperative nerve resection/postoperative nerve palsy | MSTS: 19 (IQR 13–25) | MSTS: 19 (IQR 11–24) | p = 0.762 |
TESS: 74% (IQR 60–80) | TESS: 83% (IQR 69–87) | p = 0.257 | |
SEV: 33% (IQR 27–54) | SEV: 45% (IQR 18–53) | p = 0.914 | |
TS: 5 (IQR 4–6) | TS: 6 (IQR 6–7) | p = 0.352 | |
WAS: 8 (IQR 2–21) | WAS: 2 (IQR 0–5) | p = 0.171 | |
Extra-articular tumor resection | MSTS: 19 (IQR 13–25) | MSTS: 19 (IQR 11–24) | p = 0.762 |
TESS: 75% (IQR 61–85) | TESS: 79% (IQR 68–87) | p = 0.762 | |
SEV: 43% (IQR 28–58) | SEV: 35% (IQR 18–53) | p = 0.610 | |
TS: 5 (IQR 4–5) | TS: 6 (IQR 5–6) | p = 1.000 | |
WAS: 8 (IQR 2–21) | WAS: 3 (IQR 0–5) | p = 0.257 | |
Radiotherapy | MSTS: 14 (IQR 6–19) | MSTS: 23 (IQR 13–25) | p = 0.517 |
TESS: 79% (IQR 72–83) | TESS: 79% (IQR 58–87) | p = 0.833 | |
SEV: 20% (IQR 10–35) | SEV: 40% (IQR 30–60) | p = 0.183 | |
TS: 5 (IQR 4–5) | TS: 4 (IQR 4–5) | p = 0.667 | |
WAS: 0 (IQR 0–4) | WAS: 3 (IQR 2–12) | p = 0.267 | |
Revision surgery | MSTS: 18 (IQR 11–24) | MSTS: 19 (IQR 14–25) | p = 0.476 |
TESS: 76% (IQR 58–87) | TESS: 80% (IQR 72–85) | p = 0.762 | |
SEV: 45% (IQR 18–60) | SEV: 33% (IQR 26–46) | p = 0.610 | |
TS: 4 (IQR 4–5) | TS: 6 (IQR 5–6) | p = 0.762 | |
WAS: 3 (IQR 1–5) | WAS: 7 (IQR 1–21) | p = 0.610 | |
High level of sports prior to diagnosis * | MSTS: 20 (IQR 14–26) | MSTS: 19 (IQR 13–24) | p = 0.400 |
TESS: 75% (IQR 69–80) | TESS: 79% (IQR 62–87) | p = 0.889 | |
SEV: 30% (IQR 25–35) | SEV: 45% (IQR 23–58) | p = 0.533 | |
TS: 8 (IQR 7–8) | TS: 5 (IQR 5–6) | p = 0.178 | |
WAS: 18 (IQR 12–24) | WAS: 3 (IQR 0–4) | p = 0.044 |
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Schneider, K.N.; Ellerbrock, M.; Gosheger, G.; Westphal, L.M.; Deventer, N.; Klingebiel, S.; Rickert, C.; Theil, C. Distal Humeral Replacement in Patients with Primary Bone Sarcoma: The Functional Outcome and Return to Sports. Cancers 2023, 15, 3534. https://doi.org/10.3390/cancers15133534
Schneider KN, Ellerbrock M, Gosheger G, Westphal LM, Deventer N, Klingebiel S, Rickert C, Theil C. Distal Humeral Replacement in Patients with Primary Bone Sarcoma: The Functional Outcome and Return to Sports. Cancers. 2023; 15(13):3534. https://doi.org/10.3390/cancers15133534
Chicago/Turabian StyleSchneider, Kristian Nikolaus, Moritz Ellerbrock, Georg Gosheger, Lucia Maria Westphal, Niklas Deventer, Sebastian Klingebiel, Carolin Rickert, and Christoph Theil. 2023. "Distal Humeral Replacement in Patients with Primary Bone Sarcoma: The Functional Outcome and Return to Sports" Cancers 15, no. 13: 3534. https://doi.org/10.3390/cancers15133534