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Tumour related lower limb amputation: a 23 year experience
1Dundee Limb Fitting Centre, Scotland.
Prosthetics and Orthotics International
|August 1, 1989
Summary
This study reviewed 42 lower limb amputations due to tumors over 23 years. Most patients with tumor-related amputations achieved successful prosthetic rehabilitation, highlighting functional recovery possibilities.
Area of Science:
- Orthopedic Surgery
- Oncology
- Rehabilitation Medicine
Background:
- Tumor-related lower limb amputations present significant challenges in patient management and rehabilitation.
- Long-term outcomes and prosthetic rehabilitation success rates for these specific amputations require further investigation.
Purpose of the Study:
- To analyze the Dundee experience with tumor-related lower limb amputations over a 23-year period.
- To report on patient demographics, tumor types, and prosthetic rehabilitation outcomes in this cohort.
Main Methods:
- Retrospective review of 42 cases of tumor-related lower limb amputations.
- Analysis of patient data including sex, tumor type (benign/malignant), and rehabilitation status.
Main Results:
- The study included 42 patients (27 males, 15 females) with 37 malignant and 5 benign tumors.
- Four 'benign' tumors were identified as locally malignant osteoclastomas.
- Prosthetic rehabilitation was successful in 41 out of 42 cases, with all fitted patients utilizing their prostheses.
Conclusions:
- Tumor-related lower limb amputations, even in complex cases, can achieve high rates of successful prosthetic rehabilitation.
- Early and effective prosthetic fitting is crucial for restoring function and mobility in amputees.
- Careful pathological evaluation is necessary, as some benign-appearing tumors can exhibit malignant behavior.