期刊文献+

骨肿瘤保肢手术中人工关节重建胫骨上端 被引量:1

Prosthetic arthroplasty after resection of primary tumor in proximal end of tibia
暂未订购
导出
摘要 目的探讨胫骨上端原发骨肿瘤保肢手术中应用人工关节重建的价值、疗效、手术难点、注意事项和并发症.方法回顾性分析本院26例胫骨上端肿瘤保肢手术的临床资料.结果 26例患者均行腓肠肌内侧头转移, 无术后感染和肌瓣坏死; 1例患者发生胫前肌群坏死.平均随访48个月,5例骨肉瘤患者死于转移,其中1例局部复发后截肢.15例植骨患者所植骨质与宿主骨愈合,形成骨壳.Enneking功能评价得分为17~28分,平均25.1分.膝关节主动屈伸范围65~100度,伸直缺失5~25度.结论保肢手术中人工关节重建胫骨上端并发症发生率低,近期疗效较好.
出处 《实用肿瘤杂志》 CAS 2006年第3期251-253,共3页 Journal of Practical Oncology
  • 相关文献

参考文献9

  • 1Grimer RJ,Carter SR,Tillman RM,et al.Endoprosthetic replacement of the proximal tibia[J].J Bone Joint Surg Br,1999,81(3):488-494.
  • 2Horowitz SM,Lane JM,Otis JC,et al.Prosthetic arthroplasty of the knee after resection of a sarcoma in the proximal end of the tibia.A report of sixteen cases[J].J Bone Joint Surg Am,1991,73(2):286-293.
  • 3Malawer MM,McHale KA.Limb-sparing surgery for high-grade malignant tumors of the proximal tibia.Surgical technique and a method of extensor mechanism reconstruction[J].Clin Orthop Relat Res,1989,239:231-248.
  • 4Wodajo FM,Bickels J,Wittig J,et al.Complex reconstruction in the management of extremity sarcomas[J].Curr Opin Oncol,2003,15(4):304-312.
  • 5Enneking WF,Dunham W,Gebhardt MC,et al.A system for the functional evaluation of reconstructive procedures after surgical treatment of tumors of the musculoskeletal system[J].Clin Orthop Relat Res,1993,286:241-246.
  • 6Abboud JA,Patel RV,Donthineni-Rao R,et al.Proximal tibial segmental prosthetic replacement without the use of muscle flaps[J].Clin Orthop Relat Res,2003,414:189-196.
  • 7李建民,杨志平,贾玉华,王韶进.腓肠肌移位在胫骨近端肿瘤保肢术中的应用价值[J].中国修复重建外科杂志,2001,15(1):9-11. 被引量:10
  • 8Chao EY,Fuchs B,Rowland CM,et al.Long-term results of segmental prosthesis fixation by extracortical bone-bridging and ingrowth[J].J Bone Joint Surg Am,2004,86(5):948-955.
  • 9Grimer RJ,Belthur M,Carter SR,et al.Extendible replacements of the proximal tibia for bone tumours[J].J Bone Joint Surg Br,2000,82(2):255-260.

二级参考文献1

共引文献9

同被引文献19

  • 1郭卫,姬涛,杨毅.肿瘤型人工关节重建下肢骨肉瘤切除后的骨缺损[J].中国修复重建外科杂志,2006,20(10):970-974. 被引量:23
  • 2李振峰,李建民,杨志平,李昕.胫骨近段骨肉瘤的切除和功能重建[J].山东大学学报(医学版),2007,45(3):322-324. 被引量:3
  • 3牛晓辉,郝林,张清,丁易.冷冻异体骨移植治疗骨肿瘤切除后骨缺损[J].中华外科杂志,2007,45(10):677-680. 被引量:23
  • 4丁茹虎,向阳,齐勇,刘义,陈一升.人工关节在四肢恶性骨肿瘤保肢重建功能中的应用[J].中国修复重建外科杂志,2007,21(8):898-900. 被引量:5
  • 5Enneking WF, Dunham W, Gebhar dt MC, et al. A system for the functional evaluation of reconstructive procedures after surgical treatment of tumors of the musculoskeletal system [J].Clin Orthop Relat Res, 1993, 286: 241- 246.
  • 6Meyers PA, Heller G, Healey JH, et al. Cbemothempy for nonmetastatic osteogenic sarcoma: the Memorial sloan-Kettering experience[J].J Clin Oncol, 1992,10:5-15.
  • 7Picci P,Sangiorgi L, Rougra BT, et al. Relationship of chemotherapyinduced necrosis and surgical margins to local recurrence in osteosarcoma[J].J Clin Oncol, 1994,12:2699-2705.
  • 8Griffin AM,Parsons JA,Davis AM,et al. Uncemented tumor endopmstheses atthe knee[J].Clin Orthop Relat Res, 2005(438):71-79.
  • 9Mittennayer F,Krepler P, Dominkus M,et al. Long-term follow-up of uncemented tumor endopmstheses for the lower extremity. Clin Onhop Relat Res,2001(388): 167-177.
  • 10Grimer RJ, Carter SR, Tillman RM, et al. Endoprosthetic replacement of the proximal tibia [J].J Bone Joint Surg Br, 1999, 81(3) : 488- 494.

引证文献1

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部