Article

We evaluated the quality-of-life of patients who have had an internal
hemipelvectomy with and without (flail hip) prosthetic reconstruction and
external hemipelvectomy. DESIGN: We reviewed the cases of 15 patients who had
undergone either internal or external hemipelvectomy for tumor. Fifteen patients
who were previously treated operatively with either a type II periacetabular
internal (n = 5) or external (n = 10) hemipelvectomy were evaluated using the
Toronto Extremity Salvage Score (TESS), Musculoskeletal Tumor Society (MSTS), and
the 36-item Short-Form Health Survey. There were 11 (73%) men and 4 (27%) women
in the study, with a mean age at operation of 46.9 +/- 18.0 yrs (range, 18-69
yrs). RESULTS: Follow-up was 30.6 +/- 19.6 mos (range, 6-70 mos). Overall mean
MSTS score was 45.2 (range, 6.7 to 83.3), and TESS score was 60.4 +/- 16.1
(range, 31.8-88.0). The 36-item Short-Form Health Survey physical component score
results were lower than the general population. TESS and MSTS were all positively
correlated to physical component score. There were no significant influences of
postsurgery time on MSTS, TESS, or physical component score. Age had a negative
correlation with physical function. CONCLUSIONS: Quality-of-life and functional
outcome were significantly reduced for patients with internal and external
hemipelvectomies on the TESS, MSTS, and the 36-item Short-Form Health Survey
physical component scores.

Langue : ANGLAIS