Abstract
Background: Hip disarticulation is the radical amputation of the lower limb through the hip joint. Hip disarticulation is a treatment modality tumours with neurovascular encasement and non-responsive to chemotherapy.
Patients & Methods: The study included 38 retrospective cases of patients who were operated in our institute with hip disarticulation for bone and soft tissue sarcoma from 2013 to 2018. Patients were analysed by tumour type, extent of disease and intent of surgical intervention (curative, curative/palliative, palliative). Disease free survival (DFS) and post-operative overall survival (OS) were calculated from the time of surgery to the last follow-up or date of death.
Results: The median DFS for all patients was 12 months, the median OS was 17 months and one year survival rate was 63.88%. When this manuscript was drafted, only 42% of the patients in the sample were alive.
Conclusion: Hip disarticulation is a major surgical procedure and proper planning is required. Hip disarticulation will continue to feature in the sarcoma surgeon’s armamentarium for unresectable tumours.
Keywords: Hip disarticulation, bone sarcoma, soft tissue sarcoma, survival rate.
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Corresponding Author
Dr Nikhil Garg
Assistant Professor, Department of Surgical Oncology, Gujarat Cancer and Research Institute, Asrawa, 380008, India
DOI: https://dx.doi.org/10.18535/jmscr/v7i9.128
