定制型人工关节置换术治疗胫骨近端肿瘤
Custom megaprosthetic replacement for proximal tibial tumours.
作者信息
Natarajan Mayil Vahanan, Sivaseelam A, Rajkumar G, Hussain S H Jaheer
机构信息
Department of Orthopaedics and Traumatology, Madras Medical College and Research Institute, Government General Hospital, 600 003, Chennai, India.
出版信息
Int Orthop. 2003;27(6):334-7. doi: 10.1007/s00264-003-0484-3. Epub 2003 Jun 28.
Abstract
We analysed 133 patients treated with resection and endoprosthetic proximal tibial replacement from 1988 to 2000. Mean age was 22.3 years and osteosarcoma was the most common tumour. Average follow-up was 59.4 months. An excellent functional result was achieved in 63 patients and a good result in 36. The number of patients who had no evidence of disease was 102. Twenty-four patients died due to disease. Infection was the most common complication, followed by periprosthetic fracture and aseptic loosening. The 5-year limb survival rate was 85.5%.
摘要
我们分析了1988年至2000年间接受胫骨近端切除及人工关节置换术治疗的133例患者。平均年龄为22.3岁，骨肉瘤是最常见的肿瘤。平均随访时间为59.4个月。63例患者获得了优异的功能结果，36例为良好结果。无疾病证据的患者有102例。24例患者死于疾病。感染是最常见的并发症，其次是假体周围骨折和无菌性松动。5年肢体生存率为85.5%。
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