Functional outcomes after internal and external hemipelvectomy in HUSM

Background: Although great advancements have been made in survival rates over the last half century with adjuvant therapies and current surgical techniques, hemipelvectomy as the surgical treatment for pelvic tumours continue to have significant associations with morbidity and complications. Using t...

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Main Authors:	Sharifudin, Mohd Ariff, Wan, Zulmi, Wan Ismail, Wan Faisham Numan, Mat Zin, Nor Azman, Mohamed Amir, Nawaz Hussain
Format:	Article
Language:	English English English
Published:	Malaysian Orthopaedic Association 2012
Subjects:	RC0254 Neoplasms. Tumors. Oncology (including Cancer) RD701 Orthopedics RM695 Physical medicine. Physical therapy
Online Access:	http://irep.iium.edu.my/29417/ http://irep.iium.edu.my/29417/ http://irep.iium.edu.my/29417/1/Malaysian_Orthopaedic_Journal_-_2012%2C_Volume_6%2C_Issue_2._Supplement_A._%28Cover%29.pdf http://irep.iium.edu.my/29417/2/Malaysian_Orthopaedic_Journal_-_2012%2C_Volume_6%2C_Issue_2._Supplement_A._%28Content_Page_59-67%29.pdf http://irep.iium.edu.my/29417/3/Malaysian_Orthopaedic_Journal_-_2012%2C_Volume_6%2C_Issue_2._Supplement_A._%28Scanned_pg_135%29.pdf

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recordtype	eprints
spelling	iium-294172013-03-07T05:57:19Z http://irep.iium.edu.my/29417/ Functional outcomes after internal and external hemipelvectomy in HUSM Sharifudin, Mohd Ariff Wan, Zulmi Wan Ismail, Wan Faisham Numan Mat Zin, Nor Azman Mohamed Amir, Nawaz Hussain RC0254 Neoplasms. Tumors. Oncology (including Cancer) RD701 Orthopedics RM695 Physical medicine. Physical therapy Background: Although great advancements have been made in survival rates over the last half century with adjuvant therapies and current surgical techniques, hemipelvectomy as the surgical treatment for pelvic tumours continue to have significant associations with morbidity and complications. Using the Enneking’s criteria as adopted by the Musculoskeletal Tumor Society (MSTS), we evaluated the functional outcomes of patients who have had an internal hemipelvectomy with and without reconstruction, and external hemipelvectomy. Method: We evaluated patients who underwent hemipelvectomy in our institution between 2001 and 2010. Patients who had had an internal or external hemipelvectomy surgery at any point in their clinical course were included in the study. Patients with follow up periods of less than four months were not included. MSTS scores were obtained at various times after the surgery. Results: A total of 50 patients who had undergone various types of resection and reconstruction techniques were included in this study. The average age is 40.1 years (range 12-79). Average duration of follow up is 10 months. The average MSTS percentage score was 44.32% (range: 6.67%-100%). Results show that external hemipelvectomy in our patients have a high morbidity and mortality rate. Various techniques of resection and reconstruction give different functional scores. Conclusion: Hemipelvectomies have a profound impact on patients’ lives as illustrated by their low MSTS scores. Proper patient selection is crucial to obtain the best outcome. This study is an effort to obtain a proper reference for preoperative discussion with patients and relatives regarding expected outcomes following such a procedure. Malaysian Orthopaedic Association 2012-06-17 Article PeerReviewed application/pdf en http://irep.iium.edu.my/29417/1/Malaysian_Orthopaedic_Journal_-_2012%2C_Volume_6%2C_Issue_2._Supplement_A._%28Cover%29.pdf application/pdf en http://irep.iium.edu.my/29417/2/Malaysian_Orthopaedic_Journal_-_2012%2C_Volume_6%2C_Issue_2._Supplement_A._%28Content_Page_59-67%29.pdf application/pdf en http://irep.iium.edu.my/29417/3/Malaysian_Orthopaedic_Journal_-_2012%2C_Volume_6%2C_Issue_2._Supplement_A._%28Scanned_pg_135%29.pdf Sharifudin, Mohd Ariff and Wan, Zulmi and Wan Ismail, Wan Faisham Numan and Mat Zin, Nor Azman and Mohamed Amir, Nawaz Hussain (2012) Functional outcomes after internal and external hemipelvectomy in HUSM. Malaysian Orthopaedic Journal, 6 (2sup.A). p. 135. ISSN 1985-2533 http://www.morthoj.org/
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English English English
topic	RC0254 Neoplasms. Tumors. Oncology (including Cancer) RD701 Orthopedics RM695 Physical medicine. Physical therapy
spellingShingle	RC0254 Neoplasms. Tumors. Oncology (including Cancer) RD701 Orthopedics RM695 Physical medicine. Physical therapy Sharifudin, Mohd Ariff Wan, Zulmi Wan Ismail, Wan Faisham Numan Mat Zin, Nor Azman Mohamed Amir, Nawaz Hussain Functional outcomes after internal and external hemipelvectomy in HUSM
description	Background: Although great advancements have been made in survival rates over the last half century with adjuvant therapies and current surgical techniques, hemipelvectomy as the surgical treatment for pelvic tumours continue to have significant associations with morbidity and complications. Using the Enneking’s criteria as adopted by the Musculoskeletal Tumor Society (MSTS), we evaluated the functional outcomes of patients who have had an internal hemipelvectomy with and without reconstruction, and external hemipelvectomy. Method: We evaluated patients who underwent hemipelvectomy in our institution between 2001 and 2010. Patients who had had an internal or external hemipelvectomy surgery at any point in their clinical course were included in the study. Patients with follow up periods of less than four months were not included. MSTS scores were obtained at various times after the surgery. Results: A total of 50 patients who had undergone various types of resection and reconstruction techniques were included in this study. The average age is 40.1 years (range 12-79). Average duration of follow up is 10 months. The average MSTS percentage score was 44.32% (range: 6.67%-100%). Results show that external hemipelvectomy in our patients have a high morbidity and mortality rate. Various techniques of resection and reconstruction give different functional scores. Conclusion: Hemipelvectomies have a profound impact on patients’ lives as illustrated by their low MSTS scores. Proper patient selection is crucial to obtain the best outcome. This study is an effort to obtain a proper reference for preoperative discussion with patients and relatives regarding expected outcomes following such a procedure.
format	Article
author	Sharifudin, Mohd Ariff Wan, Zulmi Wan Ismail, Wan Faisham Numan Mat Zin, Nor Azman Mohamed Amir, Nawaz Hussain
author_facet	Sharifudin, Mohd Ariff Wan, Zulmi Wan Ismail, Wan Faisham Numan Mat Zin, Nor Azman Mohamed Amir, Nawaz Hussain
author_sort	Sharifudin, Mohd Ariff
title	Functional outcomes after internal and external hemipelvectomy in HUSM
title_short	Functional outcomes after internal and external hemipelvectomy in HUSM
title_full	Functional outcomes after internal and external hemipelvectomy in HUSM
title_fullStr	Functional outcomes after internal and external hemipelvectomy in HUSM
title_full_unstemmed	Functional outcomes after internal and external hemipelvectomy in HUSM
title_sort	functional outcomes after internal and external hemipelvectomy in husm
publisher	Malaysian Orthopaedic Association
publishDate	2012
url	http://irep.iium.edu.my/29417/ http://irep.iium.edu.my/29417/ http://irep.iium.edu.my/29417/1/Malaysian_Orthopaedic_Journal_-_2012%2C_Volume_6%2C_Issue_2._Supplement_A._%28Cover%29.pdf http://irep.iium.edu.my/29417/2/Malaysian_Orthopaedic_Journal_-_2012%2C_Volume_6%2C_Issue_2._Supplement_A._%28Content_Page_59-67%29.pdf http://irep.iium.edu.my/29417/3/Malaysian_Orthopaedic_Journal_-_2012%2C_Volume_6%2C_Issue_2._Supplement_A._%28Scanned_pg_135%29.pdf
first_indexed	2023-09-18T20:43:11Z
last_indexed	2023-09-18T20:43:11Z
_version_	1777409501720215552

Functional outcomes after internal and external hemipelvectomy in HUSM

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