Function, disability, and health-related quality of life after allograft-prosthesis composite reconstructions of the proximal femur.
BACKGROUND
Factors affecting function, disability and health-related quality of life after allograft-prosthesis composite reconstructions have been poorly studied.


METHODS
Retrospective study of eighteen patients who underwent reconstruction with proximal femoral allograft-prosthesis composites and answered questionnaires to assess hip function (Postel and Merle d'Aubigné, self-reported Harris Hip Score), disability (Toronto Extremity Salvage Score), and health-related quality of life (SF-36).


RESULTS
The median Toronto Extremity Salvage Score was 76 (IQR: 48-85), the median self-reported Harris Hip Score was 90 (IQR: 48-95) and the median Postel and Merle d'Aubigné score was 17 (IQR: 12-17). Older age, female gender, and presentation with a pathologic fracture were associated with increased disability and poorest function. The median Physical Component Summary score was 44 (IQR: 39-45) and Mental Component Summary scores were 49 (IQR: 46-56). Male gender and recurrence of disease were associated with poorer health-related quality of life. There was a high degree of correlation between function, disability scores and Physical Component Summary score.


CONCLUSIONS
Patients' characteristics at presentation such as age, gender, and occurrence of a pathologic fracture play an important role in determining disability, function, and health-related quality of life after allograft-prosthesis composite reconstruction of the proximal femur.
Department of Orthopaedic Surgery, Hôpital Cochin, Paris 5 Université René Descartes, AP-HP, Paris, France. djmbiau@yahoo.fr
David J
DJ
Biau
Aileen
A
Davis
Laurent
L
Vastel
Bernard
B
Tomeno
Philippe
P
Anract
D000293:Adolescent; D000328:Adult; D000368:Aged; D001186:Artificial Limbs; D016025:Bone Transplantation; D004185:Disability Evaluation; D005260:Female; D005266:Femoral Neoplasms / Q000473:pathology / Q000503:physiopathology / Q000601:surgery*; D005500:Follow-Up Studies; D006304:Health Status; D006801:Humans; D008297:Male; D008875:Middle Aged; D019919:Prosthesis Implantation; D011788:Quality of Life; D019651:Plastic Surgery Procedures; D020127:Recovery of Function / Q000502:physiology; D012189:Retrospective Studies; D016896:Treatment Outcome