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使用带跟骨-骶骨固定的胫骨-后足旋转成形术进行半骨盆切除术重建术。

Reconstruction after external hemipelvectomy using tibia-hindfoot rotationplasty with calcaneo-sacral fixation.

作者信息

Kong George Yx, Rudiger Hannes A, Ek Eugene Th, Morrison Wayne A, Choong Peter Fm

机构信息

Department of Orthopaedic Surgery, St, Vincent's Hospital, Melbourne, Australia.

出版信息

Int Semin Surg Oncol. 2008 Jan 21;5:1. doi: 10.1186/1477-7800-5-1.

DOI:10.1186/1477-7800-5-1
PMID:18208587
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2257950/
Abstract

BACKGROUND

External hemipelvectomy is associated with high post operative morbidity and a poor functional outcome. We aim to explore a reconstruction technique to improve function and post operative appearance for patients who undergo external hemipelvectomy.

CASE PRESENTATION

We present a Case where extensive cancer involvement of pelvis and femur was managed with a novel surgical technique, which involved a calf sparing modified anterior flap hemipelvectomy combined with rotationplasty of the spared calf and fixation of calcaneus to the sacrum, thereby recreating a new thigh stump.

CONCLUSION

Tibia-hindfoot rotationplasty result in good functional outcome and appearance for selected patients undergoing external hemipelvectomy with unaffected external iliac and femoral vessels.

摘要

背景

半骨盆切除术与术后高发病率和不良功能结局相关。我们旨在探索一种重建技术，以改善接受半骨盆切除术患者的功能和术后外观。

病例报告

我们呈现了一个病例，其中骨盆和股骨广泛的癌症累及通过一种新颖的手术技术进行处理，该技术包括保留小腿的改良前皮瓣半骨盆切除术，联合保留小腿的旋转成形术以及跟骨与骶骨固定，从而再造一个新的大腿残端。

结论

对于接受半骨盆切除术且髂外血管和股血管未受影响的特定患者，胫后足旋转成形术可带来良好的功能结局和外观。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f4b/2257950/9db15515a0a9/1477-7800-5-1-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f4b/2257950/a2d3515340f5/1477-7800-5-1-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f4b/2257950/5f788b438764/1477-7800-5-1-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f4b/2257950/18ce60a4b8fe/1477-7800-5-1-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f4b/2257950/9db15515a0a9/1477-7800-5-1-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f4b/2257950/a2d3515340f5/1477-7800-5-1-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f4b/2257950/5f788b438764/1477-7800-5-1-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f4b/2257950/18ce60a4b8fe/1477-7800-5-1-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f4b/2257950/9db15515a0a9/1477-7800-5-1-4.jpg

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本文引用的文献

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Review article: Reconstructive surgery following resection of primary and secondary tumours of the hip.
J Orthop Surg (Hong Kong). 2000 Dec;8(2):83-94. doi: 10.1177/230949900000800215.
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Surgical treatment of pelvic sarcomas: oncologic and functional outcome.盆腔肉瘤的外科治疗：肿瘤学及功能预后
Clin Orthop Relat Res. 2001 Sep(390):190-205. doi: 10.1097/00003086-200109000-00022.
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Tibial turn-up for long distal femoral bone loss.胫骨上翻治疗股骨远端长节段骨缺损。
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Type-B-IIIa hip rotationplasty: an alternative operation for the treatment of malignant tumors of the femur in early childhood.B-IIIa型髋关节旋转成形术：儿童早期股骨恶性肿瘤治疗的一种替代手术。
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External and internal hemipelvectomy for sarcomas of the pelvic girdle: consequences of limb-salvage treatment.骨盆带肉瘤的内外侧半骨盆切除术：保肢治疗的后果
Eur J Surg Oncol. 1997 Dec;23(6):540-6. doi: 10.1016/s0748-7983(97)93173-5.
6
Tibia-hindfoot osteomusculocutaneous rotationplasty with calcaneopelvic arthrodesis for extensive loss of bone from the proximal part of the femur. A report of two cases.采用跟骨骨盆关节固定术的胫骨-后足骨肌肉皮瓣旋转成形术治疗股骨近端广泛骨质缺损：两例报告
J Bone Joint Surg Am. 1997 Oct;79(10):1504-9. doi: 10.2106/00004623-199710000-00007.
7
Complications and outcome of external hemipelvectomy in the management of pelvic tumors.盆腔肿瘤治疗中外侧半骨盆切除术的并发症及预后
Ann Surg Oncol. 1996 May;3(3):304-9. doi: 10.1007/BF02306287.
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Surgical technique of hemipelvectomy in the lateral position.侧卧位半骨盆切除术的手术技术
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Hemipelvectomy for buttock tumors utilizing an anterior myocutaneous flap of quadriceps femoris muscle.利用股四头肌前肌皮瓣进行臀部肿瘤半骨盆切除术。
Ann Surg. 1983 Jan;197(1):106-15.
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Variants of hemipelvectomy.半骨盆切除术的变体
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