Han Chung-Soo, Chung Duke-Whan, Lee Jung-Hee, Jeong Bi-O
Kyung Hee Medical Center, School of Medicine, Kyung Hee University, Seoul, Korea.
J Pediatr Orthop B. 2010 Jan;19(1):61-5. doi: 10.1097/bpb.0b013e3283330207.
Involvement of the growth plate by a tumor or an injured growth plate during surgical procedures causes a discrepancy in the limb length. To address this problem,distraction osteogenesis is a well-established procedure for the treatment of defect and leg length discrepancy inviable bone tissues. We present the lengthening of an intercalary allograft combined with a vascularized fibular graft after reconstruction of osteosarcoma in the femoral metaphysis of a 10-year-old boy. The ability to lengthen through a composite allograft-vascularized fibular graft would add another option for reconstruction in skeletally immature children after resection for bone sarcomas.
肿瘤累及生长板或手术过程中生长板受损会导致肢体长度出现差异。为解决这一问题，牵张成骨术是治疗可行骨组织缺损和腿长差异的成熟方法。我们报告了一名10岁男孩股骨干骺端骨肉瘤重建术后，采用带血管腓骨移植联合中间段同种异体骨延长的病例。通过复合同种异体骨-带血管腓骨移植进行延长的能力，将为骨肉瘤切除术后骨骼未成熟儿童的重建增加另一种选择。
