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股骨干骨包虫病导致股骨干不愈合的同种异体骨移植治疗

Femoral allograft in the management of osseous hydatidosis presenting as femoral shaft non-union.

机构信息

Department of Orthopedics, All India Institute of Medical Sciences, Ansari Nagar, Delhi, 110070, India.

出版信息

Arch Orthop Trauma Surg. 2009 Dec;129(12):1627-32. doi: 10.1007/s00402-008-0797-1. Epub 2008 Dec 16.

Abstract

Osseous hydatidosis is a rare infection posing diagnostic and therapeutic challenge. We present a case of extensive hydatidosis of the femoral shaft with non-union of pathologic fracture. Patient had resection of involved femur and post-operative chemotherapy. Subsequently femur reconstruction was done using a femoral allograft. At 26 months patient has no recurrence and bony union is seen at host-allograft interface. We present this technique as an extended indication of allograft used in limb reconstruction.

摘要

骨包虫病是一种罕见的感染,具有诊断和治疗方面的挑战性。我们报告了一例股骨骨干广泛包虫病伴病理性骨折不愈合的病例。患者接受了受累股骨切除术和术后化疗。随后使用股骨同种异体骨进行了股骨重建。26 个月后,患者无复发,在宿主-同种异体界面可见骨愈合。我们将这种技术作为同种异体骨在肢体重建中广泛应用的一个扩展指征。

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