Jaffe Kenneth Aaron, Launer Eric Paul, Scholl Brian Michael
Alabama Sports Medicine and Orthopaedics Center, HealthSouth, Birmingham, USA.
Am J Orthop (Belle Mead NJ). 2002 Oct;31(10):575-8.
Fifteen patients with a benign lesion of the proximal femur were surgically treated with augmented intralesional curettage and bone grafting using an allogenic fibular strut graft in conjunction with internal fixation with a sliding hip screw. Mean age was 26 years (range, 13-46 years). Patients were followed up for a mean of 30 months (range, 7-110 months). Clinical results were assessed using the functional-evaluation-of-reconstruction procedures described by the Musculoskeletal Tumor Society. Radiographic outcomes were assessed by comparing preoperative radiographs with radiographs taken at the most recent follow-up. Clinical results were excellent in all patients. Radiographic assessment of the patients showed no evidence of recurrent tumor, fracture, or graft resorption at the most recent follow-up. This method of treatment leads to excellent functional results and lessens the morbidity associated with autograft harvest.
15例股骨近端良性病变患者接受了手术治疗，采用病灶内扩大刮除术、同种异体腓骨支撑骨移植联合滑动髋螺钉内固定。平均年龄26岁（范围13 - 46岁）。患者平均随访30个月（范围7 - 110个月）。采用肌肉骨骼肿瘤学会描述的重建手术功能评估方法评估临床结果。通过比较术前X线片与最近一次随访时拍摄的X线片来评估影像学结果。所有患者的临床结果均为优秀。对患者的影像学评估显示，在最近一次随访时没有复发性肿瘤、骨折或移植骨吸收的迹象。这种治疗方法可带来优异的功能结果，并降低与自体骨采集相关的发病率。
