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Quality of Life and Functional Outcome of Patients Treated with Revision Limb Salvage Surgery and Amputation: A Cross-Sectional Study

May 10, 2019

Case Report | Volume 5 | Issue 2 | JBST May – August 2019 | Page 11-14| M S Satish, Srinivasan Vijay, Anand Raja, Surendran Veeraiah. DOI: 10.13107/jbst.2019.v05i02.428 Author M S Satish[1], Srinivasan Vijay[1], Anand Raja[2], Surendran Veeraiah[3] [1]Department of Physiotherapist, Cancer Institute (WIA), Chennai, Tamil Nadu, India, [2]Department of Surgical Oncology, Cancer Institute (WIA), Chennai, […]

Heterotopic Ossification Circumferentia Articularis (HOCA) of Hip Joint: A Case Series and Review of the Literature

May 10, 2019

Case Report | Volume 5 | Issue 2 | JBST May – August 2019 | Page 8-10| R Vaishya, A Goel, A K Agarwal, A Vaish. DOI: 10.13107/jbst.2019.v05i02.426 Author R Vaishya[1], A Goel[1], A K Agarwal[1], A Vaish[1] [1]Department of Orthopaedics, Indraprastha Apollo Hospital, Sarita Vihar, New Delhi, India. Address of Correspondence Dr. Amit Kumar […]

Quality of Life and Functional Outcome of Patients Treated with Revision Limb Salvage Surgery and Amputation: A Cross-Sectional Study

May 10, 2019

Heterotopic Ossification Circumferentia Articularis (HOCA) of Hip Joint: A Case Series and Review of the Literature

May 10, 2019

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Quality of Life and Functional Outcome of Patients Treated with Revision Limb Salvage Surgery and Amputation: A Cross-Sectional Study

May 10, 2019

Author M S Satish[1], Srinivasan Vijay[1], Anand Raja[2], Surendran Veeraiah[3]
[1]Department of Physiotherapist, Cancer Institute (WIA), Chennai, Tamil Nadu, India,
[2]Department of Surgical Oncology, Cancer Institute (WIA), Chennai, Tamil Nadu, India,
[3]Department of Psycho-Oncology, Cancer Institute (WIA), Chennai, Tamil Nadu, India.

Address of Correspondence
Dr. M S Satish,
Department of Physiotherapist, Cancer Institute(WIA), Adyar, Chennai, Tamil Nadu, India.
E-mail: ms.satish@cancerinstitutewia.org

Abstract
Context: Despite the advances in surgical treatments and chemotherapy, obtaining an optimal outcome in the treatment of musculoskeletal tumors or sarcomas is still quite challenging. This can be managed by improving various factors such as survival and recurrence rate, longevity of the prosthesis, functional outcome, and quality of life (QOL) of patients. However, not much attention has been given to this issue in India.
Aims: The aim of the study was to examine the QOL and functional outcome of musculoskeletal cancer patients who were treated with revision limb salvage surgery (LSS) and those who underwent above-knee (AK) amputation followed by rehabilitation with Akprosthesis.
Settings and Design: A cross-sectional study was carried out between May 2015 and April 2016 at Physiotherapy Out patient Department of Cancer Institute, Chennai.
Materials and Methods: Thirty-two patients aged between 15and 60 years, treated with revision LSS (n=15) and those rehabilitated with prosthesis after AK amputation (n=17)were assessed for QOL and functional outcome. Cancer Institute QOL questionnaire was used to assess QOL and Musculoskeletal Tumor Society score was used to find the functional outcome of these patients.
Statistical analysis: Descriptive statistics, student’s t-test, and Chi-square test were used to analyze the data using SPSS version 13.
Results: The revision LSS patients were found to have a better functional outcome as well as QOL than the amputees. Yet another aspect of QOL, namely, fear of recurrence was much lesser among AK amputees than revision LSS patients.
Conclusions: The findings of this study imply that revision LSS has higher advantages in terms of functional outcome and QOL of patients compared to amputation, though patients treated with revision LSS were found to have increased fear of recurrence and pain than the amputees.
Keywords: Revision limb salvage surgery, quality of life, functional outcome, amputation, musculoskeletal tumor.

References
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Dr. M S Satish	Dr. Srinivasan Vijay	Dr. Anand Raja	Dr. Surendran Veeraiah

How to Cite this article: Satish M S, Vijay S, Raja A, Surendran V. Quality of Life and Functional Outcome of Patients Treated with Revision Limb Salvage Surgery and Amputation: A Cross-Sectional Study. Journal of Bone and Soft Tissue Tumors May-August 2019;5(2): 11-14.

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Heterotopic Ossification Circumferentia Articularis (HOCA) of Hip Joint: A Case Series and Review of the Literature

May 10, 2019

Author
R Vaishya[1], A Goel[1], A K Agarwal[1], A Vaish[1]

[1]Department of Orthopaedics, Indraprastha Apollo Hospital, Sarita Vihar, New Delhi, India.

Address of Correspondence
Dr. Amit Kumar Agarwal,
Department of Orthopaedics, Indraprastha Apollo Hospital, Sarita Vihar, Mathura Road, New Delhi – 110 076,India.
E-mail: amitorthopgi@yahoo.co.in

Abstract
Introduction: Heterotopic ossification (HO) is often described as the mature, lamellar bone formed in a non-osseous tissue. This new bone formation usually occurs between muscle planes or between muscle and joint capsule. When it surrounds a joint circumferentially, it is known as (HO) Heterotopic Ossification circumferentia articular is circumferential articularis (HOCA). HOCA of the knee has been described earlier in the literature, but this term has never been described for the hip joint in the literature.
Case Presentation: We present a case series of two such patients having HOCA of hip joints. In both the cases, there was a history of brain injury and prolonged intubation, which seems the most likely predisposing factors in the causation of HOCA in these hips.
Conclusion: We believe that in our patient, the responsible factors for the causation of HOCA could be myriad of factors such as prolonged intensive care unit (ICU) stay with mechanical ventilation and hypoxia, long-standing immobilization, and hypomobility with incomplete flaccid paralysis. The surgical excision is quite challenging, extensive and is not advisable in most cases, and they respond symptomatically to conservative methods including analgesics, bisphosphonates, physiotherapy, and radiation.
Keywords: Heterotopic ossification circumferentia articularis, hip joint, neurological injury,

References
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11. Vaishya R, Agarwal AK, Vijay V, Vaish A. Heterotopic ossification circumferentia articularis (HOCA) of both knee joints after guillain-barré syndrome. Cureus 2016;8:e480.
12. Melamed E, Robinson D, Halperin N, Wallach N, Keren O, Groswasser Z, et al. Brain injury-related heterotopic bone formation: Treatment strategy and results. Am J Phys Med Rehabil 2002;81:670-4.
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15. Sautter-Bihl ML, Liebermeister E, Nanassy A. Radiotherapy as a local treatment option for heterotopic ossifications in patients with spinal cord injury. Spinal Cord 2000;38:33-6.


Dr. R Vaishya	Dr. A Goel	Dr. A K agarwal	Dr. A Vaish

How to Cite this article: Vaishya R, Goel A, Agarwal AK, Vaish A. Heterotopic Ossification Circumferentia Articularis of Hip Joint: A Case Series and Review of the Literature. Journal of Bone and Soft Tissue Tumors May-August 2019;5(2): 8-10.

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Quality of Life and Functional Outcome of Patients Treated with Revision Limb Salvage Surgery and Amputation: A Cross-Sectional Study

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Heterotopic Ossification Circumferentia Articularis (HOCA) of Hip Joint: A Case Series and Review of the Literature

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Quality of Life and Functional Outcome of Patients Treated with Revision Limb Salvage Surgery and Amputation: A Cross-Sectional Study

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Heterotopic Ossification Circumferentia Articularis (HOCA) of Hip Joint: A Case Series and Review of the Literature

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Quality of Life and Functional Outcome of Patients Treated with Revision Limb Salvage Surgery and Amputation: A Cross-Sectional Study

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Heterotopic Ossification Circumferentia Articularis (HOCA) of Hip Joint: A Case Series and Review of the Literature

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