Department of Orthopedic Surgery, Yamaguchi University School of Medicine, 1-1-1 Minami-Kogushi, Ube, Yamaguchi 755-8505, Japan.
J Plast Reconstr Aesthet Surg. 2010 Dec;63(12):2177-80. doi: 10.1016/j.bjps.2010.03.008. Epub 2010 Mar 26.
Reconstruction of the proximal humerus following limb-saving resection of malignant bone tumor is extremely challenging. We describe here a novel anatomical reconstruction technique in a young patient. A 6-year-old girl with Ewing sarcoma of the proximal humerus was treated by wide excision of the tumor followed by reconstruction with extracorporeally-irradiated osteoarticular autograft combined with an intramedullary inserted free vascularized fibula graft. Proper alignment of the shoulder joint was maintained with no osteoarthritic changes after 16 months. The resulting limb function was satisfactory. This biological reconstruction method was safe and without serious complication. It is indicated for the reconstruction of non-weight-bearing joints and is ideal for the proximal humerus.
肱骨近端恶性骨肿瘤保肢切除术后的重建极具挑战性。我们在此描述了一种年轻患者的新型解剖重建技术。一名 6 岁女孩患有肱骨近端尤文肉瘤，通过广泛切除肿瘤，然后使用体外照射的骨关节自体移植物和髓内插入的游离血管化腓骨移植物进行重建。16 个月后，肩关节保持适当的对齐，没有骨关节炎改变。最终的肢体功能满意。这种生物重建方法安全，无严重并发症。它适用于非承重关节的重建，是肱骨近端重建的理想选择。
