Evaluating Functional Outcome in Patients With Lower Extremity Sarcoma

Functional outcome after endoprosthetic limb-salvage therapy of primary bone tumours—a comparative analysis using the MSTS score, the TESS and the RNL index

“…The categories "function" and "emotional acceptance" of the MSTS score can lead to a subtraction of points without the patient having to demonstrate severe functional disadvantages. These observations were also confirmed by Davis et al [2].…”

“…An attempt to compare an objective (doctor's) assessment with the patients' selfassessment was made much more rarely. The TESS system was validated along with the MSTS and subsequently has been used to analyse these complex problems [2,4].…”

“…The TESS (Toronto Extremity Salvage Score) was developed to record the physical and functional impairment in daily life (disability) with the intention of describing individuals at a certain point in time and in the event of changes [2][3][4]. As a disease-specific measurement method, it was developed for patients aged between 12 and 80 years.…”

Constrained Total Hip Megaprosthesis for Primary Periacetabular Tumors

“…* To calculate major complication rate, only local wound-related complications (wound infection, fistulas, skin necrosis, etc) and implant-related complications (deep infection, loosening, fracture, dislocation, etc) were included, whereas tumor-related complications (local recurrence, distant metastasis), systemic complications (pulmonary embolism, cardiovascular failure, etc), and postoperative leg-length discrepancy were excluded; 15 of 17 patients were primarily treated with an allograft THA prosthesis composite; à 11 of 19 patients primarily underwent allograft-BHA (bipolar hip arthroplasty) prosthesis composite; § all 11 patients primarily underwent pasteurized autologous graft-THA prosthesis composite; MSTS/ISOLS = Musculoskeletal Tumor Society/International Society of Limb Salvage; NA = not available; TESS = Toronto Extremity Salvage Score [5].…”

What is the Emotional Acceptance After Limb Salvage with an Expandable Prosthesis?

“…Although several small series have reported on functional outcomes of these patients, quality of life has not been thoroughly addressed. Several outcome measurement instruments attempt to quantify global patient performance, including quality of life and satisfaction with limb salvage; these include the Musculoskeletal Tumor Society scoring system and the Toronto Extremity Salvage Score [7,11]. Neither of these systems is designed for assessing pediatric patients and neither directly addresses body image or social function.…”