A system for the functional evaluation of reconstructive procedures after surgical treatment of tumors of the musculoskeletal system

Gerrand, CH; Rankin, K

doi:10.1007/978-1-4471-5451-8_128

A system for the functional evaluation of reconstructive procedures after surgical treatment of tumors of the musculoskeletal system

Lookup NU author(s): Craig Gerrand, Dr Kenneth Rankin ORCiD

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Abstract

© 2014 Springer-Verlag London. All rights are reserved. The first International Symposium on Limb Salvage (ISOLS) in 1981 identifi ed the need for a standardized system for reporting the results of the treatment of musculoskeletal tumours in order to compare techniques. The Musculoskeletal Tumour Society (MSTS) and ISOLS subsequently adopted this system of functional evaluation for research and presentation of results. In brief, the system assigns numerical values (0-5) to each of six categories. For the upper limb these are pain, function, emotional acceptance, lifting ability, hand positioning and dexterity. For the lower limb these are pain, function, emotional acceptance, supports, walking and gait. Demographic information and a patient satisfaction component are included. The system derives a numerical score and percentage rating. The system has been fi eld tested in 220 patients with low interobserver variability. Use of the system was recommended by the MSTS to facilitate comparative end result studies of musculoskeletal tumour reconstructions.