Ozaki Toshifumi, Fujiwara Kazuo, Kunisada Toshiyuki, Ito Tatsuo, Kawai Akira, Inoue Hajime
Department of Orthopaedic Surgery Okayama University Hospital 2-5-1 Shikata-cho Okayama 700-8558 Japan.
Sarcoma. 2004;8(2-3):97-102. doi: 10.1080/13577140400017794.
We report a technique of implantation of the ipsilateral vascularized fibula with pasteurized recycled bone after excision of tibia sarcoma in two cases. Plate and screws were used for osteosynthesis of the tibia or talus, vascularized fibula, and pasteurized bone. Microsurgery is not necessary for this reconstruction technique. Two patients who underwent this technique have obtained good functional results without tumor relapse 5 and 6 years after operation. The technique produced excellent results with regard to tibial reconstruction in these cases. We found it to be simple, speedy, safe, and a low cost technique by use of recycled bone.
我们报告了两例胫骨肉瘤切除术后采用经巴氏消毒的回收骨植入同侧带血管腓骨的技术。钢板和螺钉用于胫骨或距骨、带血管腓骨及经巴氏消毒骨的骨固定。该重建技术无需显微外科手术。接受此技术的两名患者术后5年和6年功能恢复良好,无肿瘤复发。该技术在这些病例的胫骨重建方面取得了优异效果。我们发现使用回收骨,该技术简单、快速、安全且成本低。