Evaluation of the functional state after post-resection of radial bone surgery in the course of treatment of giant cell tumor using the MSTS and DASH scales

Szczypiór-Piasecka Karina, Nowicka Sandra, Antczak Krzysztof, Mińko Alicja. Evaluation of the functional state after post-resection of radial bone surgery in the course of treatment of giant cell tumor using the MSTS and DASH scales. Journal of Education, Health and Sport. 2021;11(9):639-649. eISSN 2391-8306. DOI http://dx.doi.org/10.12775/JEHS.2021.11.09.080 https://apcz.umk.pl/JEHS/article/view/JEHS.2021.11.09.080 https://zenodo.org/record/5532896 The journal has had 5 points in Ministry of Science and Higher Education parametric evaluation. § 8. 2) and § 12. 1. 2) 22.02.2019. © The Authors 2021; This article is published with open access at Licensee Open Journal Systems of Nicolaus Copernicus University in Torun, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author (s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non commercial license Share alike. (http://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 15.09.2021. Revised: 20.09.2021. Accepted: 27.09.2021. Evaluation of the functional state after post-resection of radial bone surgery in the course of treatment of giant cell tumor using the MSTS and DASH scales Karina Szczypiór-Piasecka https://orcid.org/0000-0002-9562-9201 karinaszczypior@interia.pl Klinika Ortopedii, Traumatologii i Onkologii Narządu Ruchu Pomorskiego Uniwersytetu Medycznego w Szczecinie, Poland Sandra Nowicka SKN Rehabilitacji Ortopedycznej i Terapii Manualnej przy KOTiONR PUM, Poland Krzysztof Antczak https://orcid.org/0000-0001-8443-0611 Studium Doktoranckie PUM, Poland Alicja Mińko https://orcid.org/0000-0003-2299-3958 SKN Rehabilitacji Ortopedycznej i Terapii Manualnej przy KOTiONR PUM, Poland Summary Introduction: The incidence of a giant radial tumor in the distal part qualifies in third place. It is very susceptible to local recurrences, which may appear within 2-3 years of the treatment. The giant cell tumor leads to the destruction of bones along with the acquisition of surrounding tissues. Most often, the diagnosis of cancer occurs too late, due to non-characteristic symptoms. Treatment includes surgical removal of the tumor and the use of reconstruction covered by the lesion or the performance of resection with the filling of the bone defect. If surgery is not possible, doctors will administer denosumab or radiotherapy with treatment. Aims: 1) The assessment of the usefulness of MSTS and DASH scales for the examination of the functional state after onco-orthopedic surgery. 2) Characteristics of giant cell tumor treatment and rehabilitation after radial bone reconstruction surgery. 3) Development of a physiotherapy program after post-resection of radial bone surgery Material and methods: The clinical data of the patient treated in the Department of Orthopedics, Traumatology and Oncology of the Motor Organs in Szczecin were used. The patient underwent surgery to remove the tumor of the giant cell part of the distal radius with the use of arthroplasty and reconstruction of the joint. To assess the functional recovery of the upper limb, the DASH and MSTS scales were used. Data on both scales were replenished before and after surgery at 612.28 and 24 months. Results: DASH and MSTS scale, find their application in the assessment of the functional state of the hand after post-resection allograft and are a good determinant of the effects of the rehabilitation. Conclusions: 1) DASH and MSTS scales describe the functional status of patients at every stage of onco-orthopedic treatment. 2) Rehabilitation started on the first postoperative day accelerates the healing and rehabilitation process after bone reconstruction surgery. Key words: DASH, MSTS, Giant cel tumou