Natarajan Mayil Vahanan, Balasubramanian Navin, Jayasankar Viswanath, Sameer Mohammad
Department of Orthopaedic Surgery, Government General Hospital, Chennai, India.
Int Orthop. 2009 Oct;33(5):1359-63. doi: 10.1007/s00264-009-0737-x. Epub 2009 Mar 4.
We analysed 17 patients with primary malignant bone tumour of the femur who underwent limb salvage surgery with the total femoral custom mega prosthesis during the period 1994-2008. The patients were in the age group of 12-73 years, with a mean age of 30.94 years. There were 14 males. The most common diagnosis was osteosarcoma. The average follow-up period was 54.05 months with the longest being 168 months. The average Musculoskeletal Tumour Society (MSTS) functional score was 66.6%. The two- to 14-year overall survival was 82.4%. Three patients died of disease and one patient required amputation. Complications encountered were deep infection and dislocation of the prosthesis.
我们分析了1994年至2008年期间17例接受全股骨定制型大假体保肢手术的原发性股骨恶性骨肿瘤患者。患者年龄在12至73岁之间,平均年龄为30.94岁。男性14例。最常见的诊断为骨肉瘤。平均随访期为54.05个月,最长为168个月。肌肉骨骼肿瘤学会(MSTS)功能评分平均为66.6%。2至14年总生存率为82.4%。3例患者死于疾病,1例患者需要截肢。遇到的并发症为深部感染和假体脱位。