Research Article

Pasteurized Autograft-Prosthesis Composite Reconstruction May Not Be a Viable Primary Procedure for Large Skeletal Defects after Resection of Sarcoma

Table 3

Associations between clinical variables and pasteurized bone-prosthesis composite survival.

VariablesUnivariateMultivariate
20 y EFSR valueRR95% CI value

Age
 ≤14, >40 56.9 ± 11.20.47NDNDND
 15–40 40.9 ± 9.4
Gender
 Female 66.0 ± 8.90.011
 Male 31.1 ± 10.52.0471.05–4.000.021
Initial tumor volume
 ≤200 ml 40.7 ± 12.90.0021
 >200 ml 44.3 ± 9.43.5501.90–6.630.001
Location
 Femur, humerus 67.1 ± 6.30.0031
 Pelvis, tibia 01.9511.07–3.550.029
Pasteurization length
 >10 cm 52.5 ± 6.80.021
 ≤10 cm 18.6 ± 14.32.7851.47–5.290.002
Mode of fixation
 Cemented 37.0 ± 11.90.051
 Noncemented 33.3 ± 12.11.5790.77–3.250.215
Use of chemotherapy
 Chemotherapy 38.2 ± 12.10.94NDNDND
 Operation only 35.0 ± 16.5
Total 42.6 ± 9.2

10 y EFSR = 10-year event-free survival rate; RR = relative risk; CI = confidence interval; ND = not done.