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Table 2 Medical history and functional outcome according to MSTS score

From: Is total femoral replacement for non-oncologic and oncologic indications a safe procedure in limb preservation surgery? A single center experience of 22 cases

Patient number Group/diagnosis Initial reconstruction Indication for TFR Number of revisions prior to TFR Age at reconstruction MSTS score
General criteria Limb-specific criteria Score
Pain Function General acceptance Supports Walking ability Gait
1 Group A: oncologic patients OSa DFR Mechanical failure 0 62 4 3 4 3 5 4 23
2 OSa PFR Periprosthetic fracture 1 31 5 3 1 5 5 3 22
3 OSa DFR Mechanical failure 7 44 4 3 3 4 3 3 20
4 OSa DFR Mechanical failure 2 34 5 4 4 4 5 3 25
5 OSa DFR Aseptic loosening 0 40 3 3 2 5 4 3 20
6 OSa DFR Mechanical failure 4 33 3 2 5 5 5 2 22
7 CSa DFR Aseptic loosening 0 33 4 3 5 5 4 2 23
8 CSa HP Recurrence tumor 0 76 4 2 3 0 3 2 14
9 M Nail Metastasis 0 71 0 1 1 0 0 1 3
10 Group B: patients with failed arthroplasty HP Periprosthetic fracture 2 64 4 3 3 0 3 1 14
11 HP and KP Periprosthetic fracture 7 70 2 2 4 0 3 2 13
12 KP Aseptic loosening 1 84 0 1 0 0 2 1 4
13 KP Periprosthetic fracture 8 86 1 0 0 0 0 0 1
14 DFR Periprosthetic fracture 0 74 1 1 0 2 3 1 8
15 Nail Periprosthetic fracture 4 90 4 0 1 0 1 0 6
16 HP and KP Periprosthetic fracture 1 79 1 1 3 0 2 1 8
17 KP Periprosthetic fracture 2 70 3 2 3 0 4 3 15
18 DFR Periprosthetic fracture 2 85 1 1 0 0 2 1 5
19 PFR Periprosthetic fracture 0 88 4 0 3 0 0 0 7
20 HP Septic loosening 1 70 2 1 3 0 2 1 9
21 HP Periprosthetic fracture 2 83 2 2 4 1 3 3 15
22 HP and KP Periprosthetic fracture 3 77 4 1 2 0 2 1 10
All patients Mean 2.1 65.6 2.8 1.8 2.5 1.5 2.8 1.7 13
Standard deviation 2.5 20.2 1.6 1.2 1.6 2.1 1.6 1.2 7
Group A Mean 1.6 47.1 3.5 2.6 3.0 3.5 3.6 2.4 18.6
Standard deviation 2.5 17.7 1.6 0.9 1.6 2.2 1.7 0.7 7.1
Group B Mean 2.5 78.5 2.1 1.0 1.9 0.3 2.0 1.2 8.4
Standard deviation 2.5 8.3 1.4 0.7 1.6 0.6 1.2 1.0 4.3
  1. MSTS Musculoskeletal Tumor Society, OSa osteosarcoma, CSa chondrosarcoma, M metastasis, HP hip prosthesis, KP knee prosthesis, DFR distal femoral replacement, PFR proximal femoral replacement, TFR total femoral replacement