Functional ability and physical activity in children and young adults after limb-salvage or ablative surgery for lower extremity bone tumors

W. Peter Bekkering, Theodora P. M. Vliet Vlieland, Hendrik M. Koopman, Gerard R. Schaap, H. W. Bart Schreuder, Auke Beishuizen, Paul C. Jutte, Peter M. Hoogerbrugge, Jacob K. Anninga, Rob G. H. H. Nelissen, Antonie H. M. Taminiau, PM Hoogerbrugge

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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. 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. 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. 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
Original languageEnglish
Pages (from-to)276-282
JournalJournal of surgical oncology
Issue number3
Publication statusPublished - 2011

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