Wallace Robert D, Davoudi Mohammad M, Neel Michael D, Lachica Roberto D
Department of Surgery, St. Jude Children's Research Hospital, Memphis, TN 38163, USA.
J Craniofac Surg. 2003 Sep;14(5):680-6. doi: 10.1097/00001665-200309000-00014.
Limb salvage for management of osteosarcoma of the lower extremity has become the mainstay of treatment for patients with malignant bony and soft tissue tumors. The knee has become a special area of concern for the reconstructive surgeon due to the high rate of wound complications and difficulties of soft tissue reconstruction. With the availability of new prosthetic implants, the advancement of surgical soft tissue techniques and introduction of adjuvant and neoadjuvant chemotherapy, resection and reconstruction has become the standard approach for patients presenting to St. Jude Children's Research Hospital. The pediatric plastic surgeon's role usually requires handling of wound complications in these reconstructive procedures. This article will discuss the authors' approach to dealing with wound complications in this difficult patient population and their interaction with the orthopedic oncologic service in obtaining primary resection and soft tissue coverage.
保肢治疗下肢骨肉瘤已成为恶性骨与软组织肿瘤患者的主要治疗手段。由于伤口并发症发生率高以及软组织重建困难，膝关节已成为重建外科医生特别关注的区域。随着新型假体植入物的出现、手术软组织技术的进步以及辅助和新辅助化疗的引入，切除与重建已成为就诊于圣裘德儿童研究医院患者的标准治疗方法。小儿整形外科医生的职责通常要求在这些重建手术中处理伤口并发症。本文将讨论作者在这一困难患者群体中处理伤口并发症的方法，以及他们在实现初次切除和软组织覆盖方面与骨肿瘤外科服务部门的协作。
