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Published on: July 28, 2020
Radiotherapy Does Not Impact Long-term Function Following Resection of Soft-tissue Sarcomas of the Hand
Nicholas F Munaretto1, Anthony L Logli1, Peter S Rose1
1Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN, U.S.A.
Background/Aim:
Radiotherapy for soft tissue sarcomas (STS) of the hand is thought to be associated with poor function. The aim of this study was to compare the long-term functional outcome in patients with and without radiotherapy.
Patients And Methods:
At long-term follow-up (mean 10±5 years), 33 (13 males, 20 female) patients, were alive for review. The mean patient age at surgery was 33±17 years and 13 (39%) patients received radiotherapy (mean dose 55±6 Gy).
Results:
Postoperatively, the mean QuickDASH and MSTS93 were 7±8 and 92±8%, respectively. Comparing patients with and without radiotherapy, there was no difference (p>0.05) between the mean QuickDASH (5±5 vs. 8±9) or MSTS93 (93±9% vs. 91±8%). Surgical complication occurred more commonly in patients with radiotherapy (46% vs. 15%, p=0.10).
Conclusion:
The use of radiotherapy was associated with a higher rate of complications, however, was not associated with a worse long-term functional outcome in patients with hand STS.
