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Functional ability and physical activity in children and young adults after limb‐salvage or ablative surgery for lower extremity bone tumors
Author(s) -
Bekkering W. Peter,
Vliet Vlieland Theodora P.M.,
Koopman Hendrik M.,
Schaap Gerard R.,
Bart Schreuder H.W.,
Beishuizen Auke,
Jutte Paul C.,
Hoogerbrugge Peter M.,
Anninga Jacob K.,
Nelissen Rob G.H.H.,
Taminiau Antonie H.M.
Publication year - 2010
Publication title -
journal of surgical oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.201
H-Index - 111
eISSN - 1096-9098
pISSN - 0022-4790
DOI - 10.1002/jso.21828
Subject(s) - medicine , ablative case , surgery , amputation , young adult , radiation therapy
Background Aim of our study was to compare functional ability and physical activity in children and young adults who underwent surgery for a malignant bone tumor that was located around the knee. Methods This cross‐sectional study included 82 patients aged 8–25 years with a follow‐up of 1–5 years. The functional ability and the amount of physical activity were evaluated by means of questionnaires and objective instruments. Results Thirty nine patients underwent limb‐salvage surgery (24 allograft and 15 endoprosthesis) and 43 underwent ablative surgery (27 amputations and 16 rotationplasty). Patients in the limb‐salvage group were significantly older at the time of surgery than patients in the ablative group (mean age 15.2 years vs. 13.2 years, P = 0.03). Apart from significantly better scores for the timed up and down stairs and various walking activities in the limb‐salvage group as compared to the ablative surgery group, no significant differences were seen for any of the outcome measures. Conclusions One to 5 years after limb‐salvage and ablative surgery due to a malignant bone tumor children and young adults do, apart from a few activities involving walking and climbing stairs, not differ with respect to overall functional ability and physical activity. J. Surg. Oncol. 2011; 103:276–282. © 2011 Wiley‐Liss, Inc.