Therapeutic value of scapular and pelvic girdle disarticulations in XXXX .

@entity1 @entity242 @entity5 @entity79 @entity2096
The authors have reviewed 22 cases of proximal disarticulations with the aim of assessing the therapeutic value, taking into account previous radio- and chemotherapy. The following criteria were especially examined: recurrences, survival, quality of life. There were 13/22 soft tissue @entity242 , 9/22 @entity79 . In 10 instances, the @entity5 was primary and treated for the first time whilst, in 12 cases, it was recurrence. Eighteen @entity1 had been previously treated by non radical surgery, 11 by radiotherapy and 10 by chemotherapy. For @entity5 , six @entity1 underwent an inter-scapulo-thoracic disarticulation and three an inter-scapulo-thoracic resection according to Tykhor-Lindberg. For lower limb @entity5 , seven @entity1 were submitted to inter-ilio-abdominal disarticulation, three to @entity2096 and one to internal hemipelvectomy according to Eilber. Mean disease free interval has been 34.5 months and mean survival 38.5 months. Three out of 20 evaluable @entity1 (15%) recurred locally although most of them benefited from second surgery. Quality of life has been excellent in general despite the fact that only seven @entity1 accepted wearing a prosthesis. Karnofsky index ranged between 60 and 100%. No significant difference was seen, whether or not previous radiotherapy and/or chemotherapy had been administered.
