Wada T, Usui M, Nagoya S, Isu K, Yamawaki S, Ishii S
Department of Orthopaedic Surgery, Sapporo Medical University and the National Sapporo Hospital, Japan.
J Bone Joint Surg Br. 2000 May;82(4):489-93. doi: 10.1302/0301-620x.82b4.10574.
We present the results in 12 patients of arthrodesis of the knee using a vascularised fibular graft after resection of a malignant bone tumour. At a mean follow-up of 95 months (60 to 178) all patients were free from disease although 11 had had at least one complication, with stress fracture of the graft in five patients, nonunion in two and deep infection requiring above-knee amputation in one. Despite the high rate of complications, satisfactory results can be obtained using this technique. Careful preoperative counselling is required.
我们展示了12例在切除恶性骨肿瘤后使用带血管腓骨移植进行膝关节融合术患者的结果。平均随访95个月（60至178个月），所有患者均无疾病复发，尽管11例患者至少出现了一种并发症，其中5例患者移植骨发生应力性骨折，2例患者出现骨不连，1例患者发生深部感染需要进行膝上截肢。尽管并发症发生率较高，但使用该技术仍可获得满意的结果。术前需要仔细咨询。
