Study | Incisions | Patient number | Follow-up | Perioperative radiotherapy | Residual tumor or recurrence | Knee ROM | Postoperative flexion contracture develop | Complication |
---|---|---|---|---|---|---|---|---|
Ohnuma et al. 2003 | Anterior and two posterior oblique incisions (2-stage) | 5 | Mean 6.9 years (3.3-8.1 years) | No | One residual (20%); one recurrence (20%) | Three (60%) full ROM | Not available | One infection |
Flandry et al. 1994 | Anterior and one posteromedial incisions (2-stage) | 23 | Mean 58 months | No | One recurrence (11%) | Not available | Not available | Not available |
Wu et al. 2007 | Anterior and direct posterior incisions (2-stage) | 9 | Mean 67 months (37-103 months) | Yes | Two recurrence (8%) | Maximal flexion from 90 to 130 degrees. | Three (33.3%) had flexion contracture of 5 degrees develop. | None |
Chen et al. 2012 | Anterior and direct posterior incisions | 19 | Median 98 months (42-130 months) | Yes | Five residual (26%); two recurrence (11%) | Mean extension improved from 11 to 2 degrees; flexion from 76 to 127 degrees. | None | None |
Current study | 1. Anterior and two separate posterior incisions 2. Anterior and direct posterior incisions | 20 | Median 4.5 years (2-11 years) | 14 patients with perioperative radiotherapy (70%) | 1. SP group: 3 residual (23.1%) and 2 recurrence (15.4%) 2. DP group: 1 residual (14.3%) and 2 recurrence (28.6%) | 1. SP group: mean extension from 1.54 to 2.31 degrees; flexion from 105.77 to 124.62 degrees. 2. DP group: mean extension from 0 to 4.29 degrees; flexion from 93.57 to 105 degrees. | 1. SP group: One (7.7%) had flexion contracture of 10 degrees develop. 2. DP group: Three (42.9%) had flexion contracture of 10 degrees develop. | None |