Follow up
Subsequently, the patient required three additional surgical
debridements during the first month after surgery to achieve adequate
healing of the stump.
He underwent postoperative rehabilitation to achieve an early prosthetic
adaptation. At ten months postoperatively, a radiographic union of the
osteotomy site was evident; his stump healed well with a good hip range
of motion. He was allowed to full weight bearing, achieving complete
prosthetic fitting 11 months after the surgery. Two years
postoperatively, he ambulated with the transfemoral prosthesis using a
single cane (Figure 5); he referred to feeling well and resumed his work
with minor limitations.
At the most recent follow-up (28 months postoperatively), we applied the
MSTS (Musculoskeletal Tumor Society Score, lower limb) (5) with a total
score of 18 (pain 4 points, functional capacity 3 points, walking
ability 3 points, emotional acceptance 3 points, use of gait support 3
points and gait 2 points. Each of these items was evaluated on a 5-point
scale, with a maximum total score of 30 points, assumed as 100%),
compared with a total of 7 points before the surgery. The most
significant changes were in pain control and improvement in gait
pattern. The real proportional gain was 36% (taking 30 points as
100%).