Sales de Gauzy J, Accadbled F, Gomez Brouchet A, Abid A
Department of Pediatric Orthopaedic Surgery, Hôpital des Enfants, Toulouse, France.
Clin Orthop Relat Res. 2009 Jul;467(7):1915-20. doi: 10.1007/s11999-009-0723-z. Epub 2009 Feb 11.
A 5-year-old boy underwent surgical excision of a Ewing's sarcoma of the proximal femur. Reconstruction was performed using an ipsilateral vascularized epiphyseal transplant and a femoral allograft. Local recurrence of the tumor necessitated hip disarticulation 3 years after the initial procedure. We then performed a histologic analysis of the transplant. The growth plate was still normal in structure but had richly vascularized hyperplastic layers. We observed bridging between the articular cartilage and the growth plate.
一名5岁男孩接受了股骨近端尤因肉瘤的手术切除。使用同侧带血管骨骺移植和同种异体股骨进行重建。初始手术后3年，肿瘤局部复发，需要进行髋关节离断术。然后我们对移植组织进行了组织学分析。生长板结构仍正常，但有血管丰富的增生层。我们观察到关节软骨和生长板之间有桥接。
