Department of Orthopaedics and Traumatology, Oncology Training and Research Hospital, Ankara, Turkey.
Folia Med (Plovdiv). 2020 Sep 30;62(3):497-502. doi: 10.3897/folmed.62.e47150.
The Barthel Index of Activities of Daily Life (ADL) is a scale used to evaluate performance in daily life activities and investigate the reason and resulting relationships in a comprehensive, non-biased manner.
The aim of this study was to compare the daily life activities of patients who underwent proximal femoral tumor resection prosthesis assessed by the Barthel Index with the activities of daily living of patients with a total hip prosthesis performed for non-tumor reasons.
Twenty-eight patients were included in the study. Sixteen patients underwent hip prosthesis for reasons other than tumor (femur proximal avascular necrosis, coxarthrosis, etc.) and 12 underwent wide resection and femur proximal tumor resection prosthesis due to primary malignant bone tumor or metastasis in the proximal femur. The Barthel Index was used to evaluate their life quality at 3 months.
A total of 28 patients (mean age 60.9±1.4 yrs, range 19.0-84.0, 17 female and 11 male patients) were included into the study. Mean ADL score was 84.5±20.6 (5-100.0). While only one patient was totally dependent in terms of daily life activities, 8 other patients were totally independent. When the patient groups were categorized by degree of dependency according to the ADL scores, it was found that dependency states of the two surgery groups were similar in distribution (p=0.212, p=0.703, and p=1.000 respectively).
Functional recovering levels were good in the patients who underwent a surgery for proximal femoral tumor resection prosthesis; there was no significant difference when we compared the functional level after total hip prosthesis applied for non-tumor reasons.
日常生活活动（ADL）的巴氏指数是一种用于评估日常生活活动表现的量表，旨在全面、客观地评估原因和结果之间的关系。
本研究旨在比较接受股骨近端肿瘤切除假体手术的患者与因非肿瘤原因接受全髋关节假体手术的患者的日常生活活动，采用巴氏指数进行评估。
本研究共纳入 28 例患者。16 例患者因股骨近端缺血性坏死、髋关节骨关节炎等非肿瘤原因行髋关节假体手术，12 例行广泛切除及股骨近端肿瘤切除假体手术，以治疗股骨近端原发性恶性骨肿瘤或转移瘤。采用巴氏指数评估患者术后 3 个月的生活质量。
共纳入 28 例患者（平均年龄 60.9±1.4 岁，范围 19.0-84.0 岁，女性 17 例，男性 11 例）。平均 ADL 评分为 84.5±20.6（5-100.0）。虽然只有 1 例患者在日常生活活动方面完全依赖，但仍有 8 例患者完全独立。根据 ADL 评分对患者分组为依赖程度，发现两组手术患者的依赖状态分布相似（p=0.212，p=0.703，p=1.000）。
接受股骨近端肿瘤切除假体手术的患者功能恢复水平良好；与因非肿瘤原因接受全髋关节假体手术的患者相比，功能水平无显著差异。
