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Clinical Orthopaedics and Related Research®

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01-11-2010 | Symposium: Highlights of the ISOLS/MSTS 2009 Meeting

What is the Emotional Acceptance After Limb Salvage with an Expandable Prosthesis?

Authors: Eric R. Henderson, MD, Andrew M. Pepper, BS, German A. Marulanda, MD, Justin D. Millard, MD, G. Douglas Letson, MD

Published in: Clinical Orthopaedics and Related Research® | Issue 11/2010

Abstract

Background

Limb preservation surgery for extremity sarcomas offers the promise of improved function and cosmesis over amputation. Application of limb salvage surgery for pediatric patients with expandable metallic endoprostheses is gaining acceptance. The few studies reporting these devices have focused on functional outcomes; one has addressed quality of life.

Questions/purposes

We asked the following questions: (1) how happy are these patients; (2) how do these patients perceive their bodies; (3) do these children have difficulty with social interactions; and (4) how satisfied are patients and their parents with their outcomes?

Methods

We retrospectively identified and contacted 26 living patients who underwent limb salvage with an expandable device. The Pediatric Outcomes Data Collection Instrument was administered to 15 of the 26 families. Attention was paid to the happiness domain of the Pediatric Outcomes Data Collection Instrument and specific answers within this domain were reported.

Results

Children who received limb salvage with an expandable endoprosthesis showed high emotional satisfaction with their outcome. Overall patients reported excellent perceptions of body image and physical attractiveness. Most patients reported frequent social interactions with their peers and no difficulty with making new friends.

Conclusions

Although this study has a limited number of subjects and no control group, the data correlate with previously scores and indicate a high degree of emotional acceptance after limb salvage with an expandable endoprosthesis in a pediatric population.

Level of Evidence

Level IV, therapeutic study. See Guidelines for Authors for a complete description of levels of evidence.

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Title: What is the Emotional Acceptance After Limb Salvage with an Expandable Prosthesis?
Authors: Eric R. Henderson, MD
Andrew M. Pepper, BS
German A. Marulanda, MD
Justin D. Millard, MD
G. Douglas Letson, MD
Publication date: 01-11-2010
Publisher: Springer-Verlag
Published in: Clinical Orthopaedics and Related Research® / Issue 11/2010
Print ISSN: 0009-921X
Electronic ISSN: 1528-1132
DOI: https://doi.org/10.1007/s11999-010-1456-8

Keynote webinar | Spotlight on medication adherence

Springer Medicine

What is the Emotional Acceptance After Limb Salvage with an Expandable Prosthesis?

Abstract

Background

Questions/purposes

Methods

Results

Conclusions

Level of Evidence

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Questions/purposes

Methods

Results

Conclusions

Level of Evidence

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