Which factors are associated with the functional recovery in patients undergoing endoprosthetic knee reconstruction following bone tumour resection? – A observational study

The objective of this study is to assess the impact of recanalization (spontaneous and therapeutic) on upper limb functioning and general patient functioning after stroke. This is a prospective, observational study of patients hospitalized due to acute ischemic stroke in the territory of the middle cerebral artery (n = 98). Patients completed a comprehensive rehabilitation program and were followed-up for 24 weeks. The impact of recanalization on patient functioning was evaluated using the modified Rankin Scale (mRS) and Stroke Upper Limb Capacity Scale (SULCS). General and upper limb functioning improved markedly in the first three weeks after stroke. Age, gender, and National Institutes of Health Stroke Scale (NIHSS) score at admission were associated with general and upper limb functioning at 12 weeks. Successful recanalization was associated with better functioning. Among patients who underwent therapeutic recanalization, NIHSS scores ≥16.5 indicate lower general functioning at 12 weeks (sensibility = 72.4%; specificity = 78.6%) and NIHSS scores ≥13.5 indicate no hand functioning at 12 weeks (sensibility = 83.8%; specificity = 76.5%). Recanalization, either spontaneous or therapeutic, has a positive impact on patient functioning after acute ischemic stroke. Functional recovery occurs mostly within the first 12 weeks after stroke, with greater functional gains among patients with successful recanalization. Higher NIHSS scores at admission are associated with worse functional recovery.

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Intercalary reconstruction of femur after tumour resection: is a vascularized fibular autograft plus allograft a long-lasting solution?

The Bone & Joint Journal ◽

10.1302/0301-620x.100b3.bjj-2017-0283.r2 ◽

2018 ◽

Vol 100-B (3) ◽

pp. 378-386 ◽

Cited By ~ 10

Author(s):

D. A. Campanacci ◽

F. Totti ◽

S. Puccini ◽

G. Beltrami ◽

G. Scoccianti ◽

...

Keyword(s):

Weight Bearing ◽

Young Patients ◽

Bone Tumour ◽

Full Weight Bearing ◽

Tumour Resection ◽

Fibular Graft ◽

Musculoskeletal Tumor Society ◽

Long Term Outcome ◽

The Mean

Aims After intercalary resection of a bone tumour from the femur, reconstruction with a vascularized fibular graft (VFG) and massive allograft is considered a reliable method of treatment. However, little is known about the long-term outcome of this procedure. The aims of this study were to determine whether the morbidity of this procedure was comparable to that of other reconstructive techniques, if it was possible to achieve a satisfactory functional result, and whether biological reconstruction with a VFG and massive allograft could achieve a durable, long-lasting reconstruction. Patients and Methods A total of 23 patients with a mean age of 16 years (five to 40) who had undergone resection of an intercalary bone tumour of the femur and reconstruction with a VFG and allograft were reviewed clinically and radiologically. The mean follow-up was 141 months (24 to 313). The mean length of the fibular graft was 18 cm (12 to 29). Full weight-bearing without a brace was allowed after a mean of 13 months (seven to 26). Results At final follow-up, the mean Musculoskeletal Tumor Society Score of 22 evaluable patients was 94% (73 to 100). Eight major complications, five fractures (21.7%), and three nonunions (13%) were seen in seven patients (30.4%). Revision-free survival was 72.3% at five, ten, and 15 years, with fracture and nonunion needing surgery as failure endpoints. Overall survival, with removal of allograft or amputation as failure endpoints, was 94.4% at five, ten, and 15 years. Discussion There were no complications needing surgical revision after five years had elapsed from surgery, suggesting that the mechanical strength of the implant improves with time, thereby decreasing the risk of complications. In young patients with an intercalary bone tumour of the femur, combining a VFG and massive allograft may result in a reconstruction that lasts a lifetime. Cite this article: Bone Joint J 2018;100-B:378–86.

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Patella dislocation following distal femoral replacement after bone tumour resection

BMJ Case Reports ◽

10.1136/bcr-2014-205006 ◽

2014 ◽

Vol 2014 (jul29 1) ◽

pp. bcr2014205006-bcr2014205006 ◽

Cited By ~ 1

Author(s):

T. Akiyama ◽

S. Kanda ◽

A. Maeda ◽

M. Endo ◽

K. Saita

Keyword(s):

Bone Tumour ◽

Patella Dislocation ◽

Tumour Resection ◽

Distal Femoral Replacement

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The impact of wheelchair propulsion based physical activity on functional recovery in stroke rehabilitation: a multicenter observational study

Disability and Rehabilitation ◽

10.1080/09638288.2020.1821249 ◽

2020 ◽

pp. 1-6

Author(s):

Yosuke Kimura ◽

Shunsuke Ohji ◽

Naohito Nishio ◽

Yuki Abe ◽

Hideyuki Ogawa ◽

...

Keyword(s):

Physical Activity ◽

Observational Study ◽

Functional Recovery ◽

Stroke Rehabilitation ◽

Wheelchair Propulsion ◽

Multicenter Observational Study ◽

The Impact

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Adamantinoma of the Tibia Treated with a New Intramedullary Diaphyseal Segmental Defect Implant

Journal of International Medical Research ◽

10.1177/147323000903700432 ◽

2009 ◽

Vol 37 (4) ◽

pp. 1238-1245 ◽

Cited By ~ 10

Author(s):

AF Mavrogenis ◽

VI Sakellariou ◽

H Tsibidakis ◽

PJ Papagelopoulos

Keyword(s):

Bone Tumour ◽

Distant Metastases ◽

Tumour Resection ◽

Segmental Defect ◽

Anterior Tibial ◽

Primary Bone ◽

Radiolucent Lesion ◽

The Right ◽

Tibial Cortex ◽

Fixation System

In this case report, a 75-year old male presented with a mass on the anterior surface of the mid-shaft of the right tibia. Imaging studies showed a well-circumscribed radiolucent lesion in the anterior tibial cortex, without soft tissue extension. Plain radiographs and computed tomography scan of the chest were negative. Histological diagnosis was consistent with adamantinoma, a rare primary bone tumour. Wide tumour resection of approximately 16 cm of the tibial diaphysis with a surrounding cuff of normal tissue was performed. The bone defect was reconstructed using an intramedullary diaphyseal segmental defect fixation system. At 26 months post-operatively the patient is alive with no evidence of local recurrence, distant metastases or implant failure. The intramedullary diaphyseal segmental defect fixation system is associated with excellent oncological and functional outcomes. Intra-operative modularity, ease of application, immediate post-operative stability and rapid rehabilitation are the major advantages of this diaphyseal prosthesis.

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