Evaluation of the functional state after post-resection of radial bone surgery in the course of treatment of giant cell tumor using the MSTS and DASH scales
DOI:
https://doi.org/10.12775/JEHS.2021.11.09.080Keywords
DASH, MSTS, Giant cel tumourAbstract
Introduction: The incidence of a giant radial tumor in the distal part qualifies in third place. It is very susceptible to local recurrences, which may appear within 2-3 years of the treatment. The giant cell tumor leads to the destruction of bones along with the acquisition of surrounding tissues. Most often, the diagnosis of cancer occurs too late, due to non-characteristic symptoms. Treatment includes surgical removal of the tumor and the use of reconstruction covered by the lesion or the performance of resection with the filling of the bone defect. If surgery is not possible, doctors will administer denosumab or radiotherapy with treatment.
Aims: 1) The assessment of the usefulness of MSTS and DASH scales for the examination of the functional state after onco-orthopedic surgery. 2) Characteristics of giant cell tumor treatment and rehabilitation after radial bone reconstruction surgery. 3) Development of a physiotherapy program after post-resection of radial bone surgery
Material and methods: The clinical data of the patient treated in the Department of Orthopedics, Traumatology and Oncology of the Motor Organs in Szczecin were used. The patient underwent surgery to remove the tumor of the giant cell part of the distal radius with the use of arthroplasty and reconstruction of the joint. To assess the functional recovery of the upper limb, the DASH and MSTS scales were used. Data on both scales were replenished before and after surgery at 612.28 and 24 months.
Results: DASH and MSTS scale, find their application in the assessment of the functional state of the hand after post-resection allograft and are a good determinant of the effects of the rehabilitation.
Conclusions: 1) DASH and MSTS scales describe the functional status of patients at every stage of onco-orthopedic treatment. 2) Rehabilitation started on the first postoperative day accelerates the healing and rehabilitation process after bone reconstruction surgery.
References
Bennett B., Hernandez RK, Li C., Liede A., Tang ET., Wang SS., Epidemiology of benign giant cell tumor of bone in the Chinease population. J Bone Oncol, 2018,12, s.96–100.
Rutkowski P., Mięsaki kości, Gdańsk: Wydaw. Via Medica, 2016. ISBN tom 6: 978-83-7599-266-3.
Athanasou NA., Orosz Z., Giant cell – containing Tumors of bone., Surg Pathol Clin, 2017, 10(3), s.533–573.
Hariri A., Facca S., Di Marco., Liverneaux P., Massive wrist prosthesis for giant cell tumour of the distal radius: A case report a 3-year follow-up., Orthop Traumatol Surg Res, 2013, 99(5), s.635–638.
Agrawal P., Agarwala S., Agarwal M., Sobti A., Giant Cell Tumor of Bone – An Overview., Arch Bone Jt Surg, 2016, 4(1), 2-9.
Karpik M., Guz olbrzymiokomórkowy (tumor gigantocellularis osteoclastoma) – epidemiologia, diagnostyka, leczenie., Medsportpress, Ortop Traumatol Rehab, 2010;3(6); s.207–215.
Garrido T., Lopez-Pousa A., J.Martin Broto., Vazquez J., Giant cel tumour of bone: new treatments in development., Clin Transl Oncol; 17, 2015 ;419–430.
Bolia IK., Chloros GD., Sawidou OD., koutsouradis P., Papagelopoulos PJ., Papanastasiou J., Denosumab: Current Use in the teratment of primary bone tumors., Orthopedics, 2017, 40(4), s.204–210.
Dutton M., Ortopedia Duttona – Obręcz barkowa, łokieć, przedramię, nadgarstek i ręka, T.2, Warszawa: Wydaw. PZWL, 2014, ISBN 978-83-200-4766-0.
Caro D., Castillo G.V., Estrella E.P., Wang HM., MSc., MD., Functional Outcomes of Reconstruction for Soft Tissue Sarcomas of the Foot and Ankle., The Foot and Ankle Onile Jornal 2(3);2009.
Golicki D., Krzysiak M., Strzelczyk P., Tłumaczenie i adaptacja kulturowa polskich wersji kwestionariuszy Disabilities of the Arm, Shoulder and Hand (DASH) oraz QuickDASH., OrtopTraumatol Rehab, 2014; 4(6), s.387–395.
Ceynowa M., Ocena funkcji kończyny górnej po leczeniu urazowych uszkodzeń nerwu pośrodkowego, łokciowego i promieniowego., Praca doktorska, Gdańsk, 2010; s. 42;52–54.
Atalay I.B., Simsek M.A., Irak Q.I., Eksioglu M.F., Malign Kemik Tümörlerinde Biyolojik Rekonstrüksiyon (angl. Biological Reconstruction in Malignant Bone Tumors)., AOT:ACTA Oncologica Turcica, Dergiye Ulasma Tarihi; 2018; 283–293.
Dong Y., Zeng B., Zhao Y., Zhang C., Zhu Z., Partial wrist versus for distal radius giant cell tumors., Int Orthop, 2013, 37(11), s.2217–2223.
Chakraborty A., Chen Y., Pandit J., Pruthi M., Salunke AA., Shan J. I wsp., Giant cell tumor of diastal radius treated with ulnar translocation and wrist arthrodesis: What are the functional outcomes?, J Orthop Surg (Hong Kong), 2017, 25(1).
Bose J.C., Balasubramanian N., Natarajan M.V., Sameer M., Viswanath J., Custom prothetic replacement for distal radial tumours., Int Orthop, 2009, 33(4), s.1081–1084.
Gitelis S., Leurgans S.E., Soni E., Scarborough M.T., Virkus W.W., Wysocki R., Is intralesional Teratment of giant cell tumor of the distal radius comparable to resection with respect to local control and functional outcome?., Clin Orthop Relat Res, 2015, 473(2), s.706–715.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Karina Szczypiór-Piasecka, Sandra Nowicka, Krzysztof Antczak, Alicja Mińko
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
The periodical offers access to content in the Open Access system under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0
Stats
Number of views and downloads: 508
Number of citations: 0
