Wada Takuro, Kawaguchi Satoshi, Isogai Satoshi, Nagoya Satoshi, Yamashita Toshihiko
Department of Orthopaedic Surgery, Sapporo Medical University, South 1 West 16, Sapporo 060-8543, Japan.
J Reconstr Microsurg. 2004 May;20(4):285-9. doi: 10.1055/s-2004-824885.
The authors report a case of recurrent malignant fibrous histiocytoma with extensive bone- and soft-tissue involvement, successfully treated with one-bone forearm reconstruction using a vascularized fibular graft and multiple tendon transfer. Twenty-four months after surgery, elbow and hand functions were maintained, and the patient had no disturbance of hand function in daily activity, although rotation of the forearm was sacrificed. No local recurrence or metastasis was noted. The procedure is a useful reconstructive option for complex tissue defects following wide excision of sarcoma of the forearm.
作者报告了一例复发性恶性纤维组织细胞瘤，伴有广泛的骨骼和软组织受累，采用带血管腓骨移植和多肌腱转移进行单骨前臂重建，治疗成功。术后24个月，肘部和手部功能得以维持，患者在日常活动中手部功能无障碍，尽管牺牲了前臂的旋转功能。未发现局部复发或转移。该手术是前臂肉瘤广泛切除术后复杂组织缺损的一种有用的重建选择。
