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肿瘤切除后采用带血管蒂髂嵴骨移植重建股骨近端。

Reconstruction of the proximal femur with a vascular pedicle iliac crest graft after tumour resection.

作者信息

Leung P C

机构信息

Department of Orthopaedics and Traumatology, Chinese University, Hong Kong.

出版信息

Int Orthop. 1992;16(1):63-5. doi: 10.1007/BF00182988.

DOI:10.1007/BF00182988
PMID:1572774
Abstract

A useful method of reconstruction of the proximal femur after tumour resection is described. An anterior iliac crest bone graft with an intact vascular supply based on the deep circumflex iliac vascular bundle is used to fill the bone defect. It is swung down to the femur behind the iliopsoas muscle and locked into place in the femur. Sixteen cases of locally aggressive tumours have been resected and reconstructed by this method. Follow-up for five to eight years shows good reconstitution of the femur and hip function without recurrence.

摘要

本文描述了一种肿瘤切除后股骨近端重建的有效方法。采用以旋髂深血管束为基础、血管供应完整的髂嵴前部骨移植来填充骨缺损。将其向下旋转至髂腰肌后方的股骨处并锁定在股骨中。16例局部侵袭性肿瘤患者已通过该方法进行了切除和重建。5至8年的随访显示股骨和髋关节功能重建良好,无复发。

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本文引用的文献

1
Bone graft viability in vascularized bone graft transfer.带血管蒂骨移植中骨移植的活力
Br J Radiol. 1982 May;55(653):325-9. doi: 10.1259/0007-1285-55-653-325.
2
Reconstruction of proximal femoral defects with a vascular-pedicled graft.带血管蒂移植物重建股骨近端缺损
J Bone Joint Surg Br. 1984 Jan;66(1):32-7. doi: 10.1302/0301-620X.66B1.6363420.
3
Reconstruction of a large femoral defect using a vascular pedicle iliac graft. Case report.采用带血管蒂髂骨移植修复股骨大段骨缺损。病例报告。
J Bone Joint Surg Am. 1983 Oct;65(8):1179-80.