Are Daily Life Activities of Patients with Proximal Femoral Tumor Resection Prosthesis as Good as those of Patients Undergoing Total Hip Prosthesis for Non-Tumor Causes?

Abstract

Introduction: The Barthel Index of Activities of Daily Life (ADL) is a scale used to evaluate performance in daily life activities and investigate the reason and resulting relationships in a comprehensive, non-biased manner. Aim: The aim of this study was to compare the daily life activities of patients who underwent proximal femoral tumor resection prosthesis assessed by the Barthel Index with the activities of daily living of patients with a total hip prosthesis performed for non-tumor reasons. Materials and methods: Twenty-eight patients were included in the study. Sixteen patients underwent hip prosthesis for reasons other than tumor (femur proximal avascular necrosis, coxarthrosis, etc.) and 12 underwent wide resection and femur proximal tumor resection prosthesis due to primary malignant bone tumor or metastasis in the proximal femur. The Barthel Index was used to evaluate their life quality at 3 months. Results: A total of 28 patients (mean age 60.9±1.4 yrs, range 19.0-84.0, 17 female and 11 male patients) were included into the study. Mean ADL score was 84.5±20.6 (5–100.0). While only one patient was totally dependent in terms of daily life activities, 8 other patients were totally independent. When the patient groups were categorized by degree of dependency according to the ADL scores, it was found that dependency states of the two surgery groups were similar in distribution (p=0.212, p=0.703, and p=1.000 respectively). Conclusion: Functional recovering levels were good in the patients who underwent a surgery for proximal femoral tumor resection prosthesis; there was no significant difference when we compared the functional level after total hip prosthesis applied for non-tumor reasons.

Functional results after reconstruction with modular tumor endoprostheses in patients with malignant bone tumors

“…[25] Atalay et al compare the functional levels of patients with a conventional total hip endoprosthesis and those with a tumor hip endoprosthesis. [32] Interestingly, patients with conventional total hip endoprostheses have no significant difference in functionality from the patients with a tumor endoprosthesis.…”

Custom Massive Allograft in a Case of Pelvic Bone Tumour: Simulation of Processing with Computerised Numerical Control vs. Robotic Machining

“…Finally, since the purpose of allograft reconstruction is patient treatment, following the abovementioned real allograft machining, a clinical trial should be carried out, comparing the use of machined custom allograft with the standard procedure of manual allograft shaping during surgical intervention. Such a clinical trial should evaluate the clinical cost of machining procedure vs. time savings during surgical intervention and, mainly, the assessing of basic activities of daily living in patients who have undergone allograft reconstruction through an ordinal scale index such as the Barthel Index [ 56 ] or WHODAS 2.0 [ 57 ].…”