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Research ArticleClinical Studies

Effectiveness of Salvage Knee Rotationplasty on Sarcoma Around the Knee in Adolescents and Young Adults

HIDEYUKI KINOSHITA, TSUKASA YONEMOTO, HIROTO KAMODA, YOKO HAGIWARA, TOSHINORI TSUKANISHI, MASAHIRO INOUE, FUMIHIDE TERAKAWA, SEIJI OHTORI and TAKESHI ISHII
Anticancer Research February 2021, 41 (2) 1041-1046; DOI: https://doi.org/10.21873/anticanres.14860
HIDEYUKI KINOSHITA
1Department of Orthopedic Surgery, Chiba Cancer Center, Chiba, Japan;
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  • For correspondence: kinoshi1783@yahoo.co.jp
TSUKASA YONEMOTO
1Department of Orthopedic Surgery, Chiba Cancer Center, Chiba, Japan;
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HIROTO KAMODA
1Department of Orthopedic Surgery, Chiba Cancer Center, Chiba, Japan;
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YOKO HAGIWARA
1Department of Orthopedic Surgery, Chiba Cancer Center, Chiba, Japan;
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TOSHINORI TSUKANISHI
1Department of Orthopedic Surgery, Chiba Cancer Center, Chiba, Japan;
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MASAHIRO INOUE
2Department of Orthopaedic Surgery, Eastern Chiba Medical Center, Chiba, Japan;
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FUMIHIDE TERAKAWA
3Department of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, Chiba, Japan
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SEIJI OHTORI
3Department of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, Chiba, Japan
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TAKESHI ISHII
1Department of Orthopedic Surgery, Chiba Cancer Center, Chiba, Japan;
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Abstract

Background/Aim: This study aimed to investigate the effectiveness of knee rotationplasty (KRP) as salvage surgery for uncontrolled infection and implant failure of total knee arthroplasty (TKA) for sarcoma around the knee in adolescents and young adults (AYA). Patients and Methods: This retrospective cohort study included 33 patients who underwent KRP and were grouped based on the treatment received: initial surgery for sarcoma around the knee (n=18) or as salvage surgery (n=15). Musculoskeletal Tumor Society (MSTS) score, range of motion (ROM) and postoperative results were analyzed. Results: All 15 patients who underwent salvage KRP had TKA as an initial surgery. Although there were five infections in salvage KRP, which originated from the initial TKA, all cases were controllable, no implant failure occurred. MSTS score and ROM were deemed acceptable in both groups. Conclusion: Salvage KRP is an effective option for uncontrolled complications of initial TKA for sarcoma around the knee.

Key Words:
  • Knee rotationplasty (KRP)
  • salvage surgery
  • total knee arthroplasty (TKA)
  • adolescents and young adults (AYA)
  • sarcoma
  • Received October 18, 2020.
  • Revision received January 1, 2021.
  • Accepted January 5, 2021.
  • Copyright © 2021 International Institute of Anticancer Research (Dr. George J. Delinasios), All rights reserved.
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Anticancer Research: 41 (2)
Anticancer Research
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February 2021
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Effectiveness of Salvage Knee Rotationplasty on Sarcoma Around the Knee in Adolescents and Young Adults
HIDEYUKI KINOSHITA, TSUKASA YONEMOTO, HIROTO KAMODA, YOKO HAGIWARA, TOSHINORI TSUKANISHI, MASAHIRO INOUE, FUMIHIDE TERAKAWA, SEIJI OHTORI, TAKESHI ISHII
Anticancer Research Feb 2021, 41 (2) 1041-1046; DOI: 10.21873/anticanres.14860

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Effectiveness of Salvage Knee Rotationplasty on Sarcoma Around the Knee in Adolescents and Young Adults
HIDEYUKI KINOSHITA, TSUKASA YONEMOTO, HIROTO KAMODA, YOKO HAGIWARA, TOSHINORI TSUKANISHI, MASAHIRO INOUE, FUMIHIDE TERAKAWA, SEIJI OHTORI, TAKESHI ISHII
Anticancer Research Feb 2021, 41 (2) 1041-1046; DOI: 10.21873/anticanres.14860
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Keywords

  • Knee rotationplasty (KRP)
  • salvage surgery
  • total knee arthroplasty (TKA)
  • adolescents and young adults (AYA)
  • Sarcoma
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