Cheng E Y, Gebhardt M C
University of Minnesota Hospital and Clinic, Minneapolis.
Orthop Clin North Am. 1991 Jan;22(1):37-48.
Large skeletal defects resulting from tumor resections about the shoulder create reconstructive challenges for the orthopedic surgeon. Bone allografts offer several advantages compared with other reconstructive techniques, and functional outcomes are generally satisfactory. They may be used either as osteoarticular grafts, intercalated segments to create an arthrodesis, or in combination with standard proximal humerus metallic implants. Patient expectations and specific oncologic factors must be considered when selecting the optimal method of reconstruction.
肩部肿瘤切除导致的大面积骨骼缺损给骨科医生带来了重建方面的挑战。与其他重建技术相比，骨移植具有多个优点，功能结果总体上令人满意。它们既可以用作骨关节移植、用于形成关节固定术的插入节段，也可以与标准的肱骨近端金属植入物联合使用。在选择最佳重建方法时，必须考虑患者的期望和特定的肿瘤学因素。
