Rehabilitation ofbone cancer patients after endoprosthetic replacement of large joints

Abstract

The present study investigated the medical rehabilitation of patients with bones sarcomas following specific therapy. It included stages of the functional and psychological rehabilitation, fertility preservation. At the Federal State Budget Institution «Medical Radiological Research Center» (Obninsk), the functional rehabilitation was carried out in 29 bone cancer patients including 11 (39%) children aged from 11-18 years and 18 (61%) adults aged from 18-69 years. Functional results were determined using the MSTS rating scale. Average values of extremity functional evaluations were 72% after endoprosthetic replacement of the hip joint, 83% after endoprosthetic replacement of the knee joint in patients with a tumor of the distal part of the femur, 76% after replacement of the proximal part of the tibia, 67% after total endoprosthetic replacement of the femur; 83 % after prosthetic reconstruction of the ankle joint, and 80% after reconstructions of the humerus.