尺骨远端植入物关节成形术作为复发性巨细胞瘤的确定性治疗方法。
Distal ulnar implant arthroplasty as a definitive treatment of a recurrent giant-cell tumor.
作者信息
Roidis Nikolaos T, Gougoulias Nikolaos E, Liakou Paraskevi D, Malizos Konstantinos N
机构信息
Orthopaedic Department, University of Thessaly, 34 Akronoa Street, Ippokratis 41447, Larissa, Greece.
出版信息
J Hand Surg Am. 2007 Oct;32(8):1262-6. doi: 10.1016/j.jhsa.2007.06.007.
Giant-cell tumors of the distal ulna are frequently recurrent and difficult to treat. A Darrach-type resection can lead to functional impairments of the wrist and hand. A case of a 42-year-old man, who underwent a distal ulna arthroplasty for recurrent giant-cell tumor of the distal ulna, is presented. The patient had two previous operations in an attempt to curette the cavity, either alone or filled with allograft bone chips. En bloc resection and distal ulnar implant arthroplasty provided a good functional outcome without any evidence of tumor recurrence at a 2-year follow-up evaluation.
尺骨远端的巨细胞瘤常常复发且难以治疗。Darrach式切除术会导致手腕和手部功能受损。本文介绍了一例42岁男性患者，因尺骨远端复发性巨细胞瘤接受了尺骨远端关节成形术。该患者此前曾进行过两次手术，试图单独刮除病灶腔或填充同种异体骨碎片。整块切除和尺骨远端植入关节成形术取得了良好的功能效果，在2年的随访评估中未发现任何肿瘤复发迹象。
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