Effectiveness of Salvage Knee Rotationplasty on Sarcoma Around the Knee in Adolescents and Young Adults.

Abstract

BACKGROUND/AIM:

This study aimed to investigate the effectiveness of knee rotationplasty (KRP) as salvage surgery for uncontrolled infection and implant failure of total knee arthroplasty (TKA) for sarcoma around the knee in adolescents and young adults (AYA).

PATIENTS AND METHODS:

This retrospective cohort study included 33 patients who underwent KRP and were grouped based on the treatment received: initial surgery for sarcoma around the knee (n=18) or as salvage surgery (n=15). Musculoskeletal Tumor Society (MSTS) score, range of motion (ROM) and postoperative results were analyzed.

RESULTS:

All 15 patients who underwent salvage KRP had TKA as an initial surgery. Although there were five infections in salvage KRP, which originated from the initial TKA, all cases were controllable, no implant failure occurred. MSTS score and ROM were deemed acceptable in both groups.

CONCLUSION:

Salvage KRP is an effective option for uncontrolled complications of initial TKA for sarcoma around the knee.

• Authors: Hideyuki Kinoshita, Tsukasa Yonemoto, Hiroto Kamoda, Yoko Hagiwara, Toshinori Tsukanishi, Masahiro Inoue, Fumihide Terakawa, Seiji Ohtori, Takeshi Ishii
• Journal: Anticancer research (Anticancer Res) Vol. 41 Issue 2 Pg. 1041-1046 (Feb 2021) ISSN: 1791-7530 [Electronic] Greece
• PMID: 33517313 (Publication Type: Journal Article)
• Copyright: Copyright © 2021 International Institute of Anticancer Research (Dr. George J. Delinasios), All rights reserved.

Topics

• Adolescent
• Adult
• Arthroplasty, Replacement, Knee (adverse effects)
• Female
• Humans
• Knee (physiopathology)
• Limb Salvage (methods)
• Male
• Prosthesis Design
• Prosthesis Failure
• Prosthesis-Related Infections (surgery)
• Range of Motion, Articular
• Reoperation (methods)
• Retrospective Studies
• Rotation
• Sarcoma (physiopathology, surgery)
• Treatment Outcome
• Young Adult