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使用定制全股骨大型假体进行恶性骨肿瘤的骨内假体重建。

Endoprosthetic reconstruction using total femoral custom mega prosthesis in malignant bone tumours.

作者信息

Natarajan Mayil Vahanan, Balasubramanian Navin, Jayasankar Viswanath, Sameer Mohammad

机构信息

Department of Orthopaedic Surgery, Government General Hospital, Chennai, India.

出版信息

Int Orthop. 2009 Oct;33(5):1359-63. doi: 10.1007/s00264-009-0737-x. Epub 2009 Mar 4.

DOI:10.1007/s00264-009-0737-x
PMID:19259671
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2899109/
Abstract

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.

摘要

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。

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本文引用的文献

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Massive allografts in tumour surgery.肿瘤手术中的大块同种异体移植
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Megaprostheses for the treatment of malignant bone tumours of the lower limbs.用于治疗下肢恶性骨肿瘤的大型假体
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Distal femoral tumours treated by resection and custom mega-prosthetic replacement.采用切除及定制大型假体置换治疗股骨远端肿瘤。
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Proximal femoral reconstruction with custom mega prosthesis.定制型大型假体进行股骨近端重建。
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More than 10 years of follow-up of two patients after total femur replacement for malignant bone tumor.两名恶性骨肿瘤患者全股骨置换术后超过10年的随访
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Functional outcome in amputation versus limb sparing of patients with lower extremity sarcoma: a matched case-control study.下肢肉瘤患者截肢与保肢的功能结局:一项配对病例对照研究。
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