The Journal of the Korean bone and joint tumor society (대한골관절종양학회지)

The Korean Musculoskeletal Tumor Society (대한근골격종양학회)
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Functional and Radiological Results of Intermediate-term Follow Up in $MUTARS^{(R)}$ Tumor Endoprostheses

$MUTARS^{(R)}$ 종양 대치물을 이용한 사지 구제술의 기능적 및 방사선학적 중기 추시 결과

  • Kang, Dong-Joon (Department of Orthopaedic Surgery, College of Medicine, Pusan National University) ;
  • Kim, Jeung-Il (Department of Orthopaedic Surgery, College of Medicine, Pusan National University) ;
  • Oh, Jong-Seok (Department of Orthopaedic Surgery, College of Medicine, Pusan National University) ;
  • Moon, Tae-Yong (Department of Radiology, College of Medicine, Pusan National University) ;
  • Lee, In-Sook (Department of Radiology, College of Medicine, Pusan National University)
  • 강동준 (부산대학교 의과대학 정형외과학교실) ;
  • 김정일 (부산대학교 의과대학 정형외과학교실) ;
  • 오종석 (부산대학교 의과대학 정형외과학교실) ;
  • 문태용 (부산대학교 의과대학 영상의학교실) ;
  • 이인숙 (부산대학교 의과대학 영상의학교실)
  • Received : 2011.03.21
  • Accepted : 2011.05.30
  • Published : 2011.06.30
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Abstract

Purpose: This study was designed to verify intermediate-term functional and radiological results of limb salvage operation using endoprosthetic replacement system ($MUTARS^{(R)}$) used in patients with a malignant bone tumor. Materials and Methods: Thirty one cases which used $MUTARS^{(R)}$ tumor prosthesis were reviewed. The mean age of the patients was 49.2 years and the mean follow up was 39.8 months. We retrospectively reviewed complications, and evaluated functionally and radiologically by Enneking functional score, ISOLS radiological implants evaluation system at last follow-up. Results: 3 patients had died of disease, distant metastasis was seen in 4 patients and local recurrence was seen in 1 patients. Complications were developed in 12 patients. (infection 6, leg length discrepancy 2, aseptic loosening 2, periprosthetic femoral fracture 1, screw loosening 1) Mean value of total functional scores were 81.2% in proximal femur, 77.4% in distal femur, 78.1% in proximal tibia, and 80.2% in proximal humerus. The overall radiological result was relatively satisfactory. Conclusion: Our results suggest limb salvage with the $MUTARS^{(R)}$ endoprosthesis is successful with good functional and radiological results. But we should be careful with complications such as infection.

목적: 사지의 악성 골 종양에서 $MUTARS^{(R)}$ 종양 대치물을 이용한 사지 구제술의 중기 추시에서 합병증 발생과 기능적 및 방사선학적 결과를 평가하고자 하였다. 대상 및 방법: $MUTARS^{(R)}$ 종양 대치물을 이용한 사지 구제술을 받은 환자 31명을 대상으로 하였다. 평균 연령은 49.2세였으며, 추시기간은 평균 39.8개월이었다. 후향적으로 최종 추시에서 합병증을 분석하고 Enneking 기능 점수와 ISOLS 방사선학적 대치물 평가 체계를 이용하여 기능적, 방사선학적 평가를 시행하였다. 결과: 3명이 사망하였고 4명에서 원격전이가 발생하였으며, 1명이 국소 재발하였다. 12명에서 합병증이 발생하였는데, 창상 및 심부감염 6명, 하지 부동 2명, 방사선학적 이완 2명, 대퇴골 골절이 1명, 나사못의 이완이 1명이었다. 최종 추시 시 기능적 분류 척도의 평균 점수는 근위 대퇴골에서 81.2%, 원위 대퇴골에서 77.4%, 근위 경골에서 78.1%, 근위 상완골에서 80.2%였으며 방사선학적 결과는 전반적으로 우수한 결과를 보였다. 결론: $MUTARS^{(R)}$ 종양 대치물을 이용한 사지 구제술은 기능적, 방사선학적으로 만족할 만한 방법이지만 감염 등의 합병증에 주의를 해야 할 것으로 생각된다.

Keywords

References

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