OBJECTIVE

To assess the functional status of patients after surgical treatment for upper extremity bone tumors with endoprosthesis.

SUBJECTS AND METHODS

The paper analyzes treatment in 146 patients, among whom there were 88 (60%) males and 58 (40%) females. The patients’ mean age was 47 years (range 19—75 years). A tumor lesion was localized in the proximal humerus in 98 (67%) patients, in the diaphysis in 18 (12%), and in the elbow joint forming bones in 16 (11%), and in the distal radius in 14 (9.6%).

RESULTS

Different factors influencing the functional results during oncological endoprosthesis of upper long extremity bones were analyzed. The elaborated program for all its sites improved the functional results of endoprosthesis. So, the perioperative rehabilitation after oncological endoprosthesis of the shoulder or wrist joint could achieve better MSTS scale indicators by 10% (75% versus 65%) or 8% (80% versus 72%); the rehabilitation after surgical treatment for a tumor lesion of the humeral diaphysis and the elbow joint-forming bones is of crucial importance, by improving the results from 76 to 95% and from 68 to 82%, respectively.

CONCLUSION

The functional results after surgical treatment for upper extremity bone tumor lesions with endiprosthesis depend not only on perioperative rehabilitation, but also on the volume of removed tissues, on the correct selection of the optimal type of endoprosthesis, on the timely and adequate postoperative periods adequate to the load of the upper extremity, on the use of both general and precision procedures for rehabilitation according to the localization of endoprosthesis.