Research Article

Can Orthopedic Oncologists Predict Functional Outcome in Patients with Sarcoma after Limb Salvage Surgery in the Lower Limb? A Nationwide Study

Table 1

Patient characteristics, indication, tumor location, surgical treatment, adjuvant therapy, and functional scores.

Pat. numberGender, age (y)BMI (kg/m2)IndicationTumor locationSideSurgical treatmentAdjuvant therapyTime post-OR (months)TESS scoreRAND-36 phys. func.RAND-36 pain

1M, 5026.0Paget’s osteosarcomaDistal femurLeftExtra-articular distal femur resection including part of the quadriceps muscle. Reconstruction with tumor prosthesis and biceps femoris tendon transposition for quadriceps reconstructionPre- and postoperative chemotherapy6779.665.089.8

2M, 3621.4Clear cell chondrosarcoma Proximal femurRightProximal femur resection, including the greater trochanter Reconstruction with tumor prosthesis 2889.270.067.3

3V, 4428.3Myxoid liposarcoma next to the medial femoral epicondyleDistal femurLeftSoft tissue tumor resection, including the medial collateral ligament Reconstruction of the pes anserinus7598.3100.0100.0

4V, 6325.2Sarcoma not otherwise specified tibial tuberosityProximal tibiaLeftProximal tibia resection Reconstruction with allograft and tumor prosthesis. Soft tissue closure with gastrocnemius transfer and split skin graft629575.0100.0

5V, 6025.4LiposarcomaMedial thighLeftResection soft-tissue tumor2188.880.0100.0

6V, 6625.2Parosteal osteosarcomaDistal femurRightDistal femur resection
Reconstruction with tumor prosthesis
1298.370.0100.0

7M, 3723.7Sarcoma not otherwise specifiedDistal femurLeftExtra-articular distal femur resection and reconstruction with tumor prosthesisPre- and postoperative chemotherapy6592.990.0100.0

8V, 6024.1Soft tissue sarcoma adductor muscles compartmentMedial thighRightEn block resectionPreoperative chemotherapy1493.190.0100.0

9V, 4134.3Chondrosarcoma grade 2Proximal tibiaLeftProximal tibia resection Reconstruction with tumor prosthesis1083.375.0100.0

10M, 4728.7Soft tissue sarcoma; previous incomplete resectionThighRightReresection10596.785.079.6

11M, 1519.2Osseous lipoma like liposarcomaProximal femurRightProximal femur resection (osteotomy at 250 mm) and reconstruction with tumor prosthesisPreoperative chemo- and radiotherapy4682.860.079.6

12V, 1624.5OsteosarcomaTibia shaftRightSegment resection tibia shaft, saving tibia epiphysis
Reconstruction with allograft, intramedullary pen, cement, and plate osteosynthesis
Pre- and postoperative chemotherapy3092.575.0100.0

13V, 1526.9OsteosarcomaDistal femur RightDistal femur resection (235 mm), reconstruction with tumor prosthesisPre- and postoperative chemotherapy7972.425.0100.0

14V, 6525.9OsteosarcomaDistal femurLeftDistal femur resection, reconstruction with tumor prosthesis5579.860.00.0

15V, 3924.9Synovial sarcoma between proximal fibula and tibiaProximal fibulaLeftProximal fibula resection, including lateral cortex of tibia Reconstruction with plate and cement.4093.180.0100.0

16M, 5925.8Chondrosarcoma grade 2Distal femurLeftDistal femur resection, reconstruction with tumor prosthesis752.950.079.6

17V, 5923.8Soft tissue sarcoma not otherwise specifiedDorsal thighRightResection soft tissue tumorPostoperative radiotherapy5160.845.0100.0

18M, 1526.6Telangiectatic osteosarcomaDistal femurLeftDistal femur resection, reconstruction with tumor prosthesisPre- and postoperative chemotherapy8483.665.057.1

19M, 2124.2OsteosarcomaDistal femurLeftDistal femur resection, reconstruction with tumor prosthesisPre- and postoperative chemotherapy1283.955.044.9

20V, 3021.7Myxoid liposarcomaRectus femoris LeftResection soft tissue sarcoma45100.0100.0100.0

21V, 4926.8Liposarcoma, previous incomplete resectionAnterolateral thighRight Reresection (last part vastus lateralis anteromedial and distal)Postoperative radiotherapy5095.890.069.4

22M, 1722.6OsteosarcomaLateral femoral epicondylesRightDistal femur resection, reconstruction with tumor prosthesisPre- and postoperative chemotherapy5087.585.0100.0

23M, 1421.5Ewing’s sarcomaDiaphysis femurRightSegment resection right femur Reconstruction with allograft, intramedullary nail, and plate osteosynthesisPre- and postoperative chemotherapy77100.0100.0100.0