病例报告：带血管蒂游离腓骨移植延长术

Case reports: lengthening of a vascularized free fibular graft.

作者信息

Courvoisier Aurélien, Sailhan Frédéric, Mary Pierre, Damsin Jean-Paul

机构信息

Pediatric Orthopaedics Department, Armand Trousseau Hospital, Paris, France.

出版信息

Clin Orthop Relat Res. 2009 May;467(5):1377-84. doi: 10.1007/s11999-008-0663-z. Epub 2008 Dec 10.

DOI:10.1007/s11999-008-0663-z

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2664416/

Abstract

Wide bone resection is sometimes necessary for bone tumors, and reconstruction is a major challenge. Vascularized fibular graft is one alternative but may result in progressive limb-length discrepancy (LLD) in children with substantial growth left. Progressive distraction lengthening with an external fixator is now a standard procedure to generally correct LLD. However, lengthening of free vascularized fibular grafts for lower limb reconstruction has not been reported frequently and then only in small series or case reports. We report our experience with three patients with lengthening after tibial reconstruction with a free vascularized fibular graft and review the literature.

摘要

对于骨肿瘤，有时需要进行广泛的骨切除，而重建是一项重大挑战。带血管蒂腓骨移植是一种选择，但对于仍有大量生长潜力的儿童，可能会导致渐进性肢体长度差异（LLD）。使用外固定器进行渐进性牵张延长目前是普遍纠正LLD的标准方法。然而，用于下肢重建的游离带血管蒂腓骨移植延长术的报道并不常见，且仅见于小系列病例或病例报告。我们报告了3例采用游离带血管蒂腓骨移植进行胫骨重建后延长的经验，并对文献进行了综述。

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本文引用的文献

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Long-term follow-up on the use of vascularized fibular graft for the treatment of congenital pseudarthrosis of the tibia.带血管腓骨移植治疗先天性胫骨假关节的长期随访。

J Orthop Surg Res. 2008 Mar 6;3:13. doi: 10.1186/1749-799X-3-13.

2

Intercalary segmental reconstruction after bone tumor resection.骨肿瘤切除术后的节段间重建。

Eur J Surg Oncol. 2008 Dec;34(12):1271-6. doi: 10.1016/j.ejso.2007.11.010. Epub 2008 Jan 11.

3

Free vascularized fibular graft salvage of complications of long-bone allograft after tumor reconstruction.带血管游离腓骨移植挽救肿瘤重建后长骨同种异体移植的并发症。

J Bone Joint Surg Am. 2008 Jan;90(1):93-100. doi: 10.2106/JBJS.G.00551.

4

The use of free vascularized fibular grafts in skeletal reconstruction for bone tumors in children.游离带血管腓骨移植在儿童骨肿瘤骨骼重建中的应用。

J Am Acad Orthop Surg. 2007 Oct;15(10):577-87. doi: 10.5435/00124635-200710000-00001.

5

Free vascularized fibula and reconstruction of long bones in the child--our evolution.游离带血管腓骨与儿童长骨重建——我们的发展历程。

Microsurgery. 2007;27(5):415-9. doi: 10.1002/micr.20384.

6

Long bone reconstruction with vascularized bone grafts.带血管蒂骨移植进行长骨重建。

Orthop Clin North Am. 2007 Jan;38(1):23-35, v. doi: 10.1016/j.ocl.2006.10.006.

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Results of free vascularized fibula grafting for allograft nonunion after limb salvage surgery for malignant bone tumors.恶性骨肿瘤保肢手术后同种异体骨不愈合的游离血管化腓骨移植结果。

J Pediatr Orthop. 2006 Nov-Dec;26(6):809-14. doi: 10.1097/01.bpo.0000235394.11418.c7.

9

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J Pediatr Orthop. 2006 Sep-Oct;26(5):634-40. doi: 10.1097/01.bpo.0000229977.31931.69.

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Plast Reconstr Surg. 2006 Aug;118(2):413-9. doi: 10.1097/01.prs.0000227682.71527.2b.

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