Kokavec M, Svec A, Zilinek V, Huraj E, Gajdos M
Department of Pediatric Orthopaedics, Comenius University, Faculty of Medicine, Bratislava, Slovakia.
Bratisl Lek Listy. 2009;110(12):807-9.
Authors evaluated functional outcomes after three different surgical procedures for sarcoma around the knee joint. Sixteen patients with sarcoma were given four to six preoperative courses of chemotherapy. Patients were separated into three groups according to the pattern of tumour excision. The first group underwent the resection of proximal fibula and tibialis anterior muscle resection, the second group underwent resection of distal femur or proximal tibia with total knee replacement, and the third group underwent radical amputation. The mean functional evaluations were 100, 95 and 80%. All marginal resections of proximal fibula resulted in excellent function. No local evidence of tumour recurrence was seen at mean follow-up of 24 months (Tab. 1, Fig. 2, Ref. 7).
作者评估了针对膝关节周围肉瘤的三种不同外科手术后的功能结果。16例肉瘤患者接受了四至六个术前化疗疗程。根据肿瘤切除方式将患者分为三组。第一组进行近端腓骨切除和胫骨前肌切除，第二组进行远端股骨或近端胫骨切除并全膝关节置换，第三组进行根治性截肢。平均功能评估分别为100%、95%和80%。近端腓骨的所有边缘性切除均获得了良好的功能。在平均24个月的随访中未发现肿瘤局部复发的迹象（表1，图2，参考文献7）。
