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采用带血管蒂腓骨骨移植术挽救足部广泛巨细胞瘤

Salvage of foot with extensive giant cell tumour with transfer of vascularised fibular bone graft.

作者信息

Tharayil Jose, Patil Rahul K

机构信息

Department of Plastic and Reconstructive Surgery, Lakeshore Hospital, Cochin, India.

出版信息

Indian J Plast Surg. 2011 Jan;44(1):150-6. doi: 10.4103/0970-0358.81469.

DOI:10.4103/0970-0358.81469
PMID:21713205
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3111110/
Abstract

Though giant cell tumor is not uncommon in young adults, simultaneous involvement of multiple mid-foot bones is very uncommon and very difficult to treat. For reconstruction of large segmental bony defects following tumour excision, free vascularized bone graft is an excellent surgical option. We report a case with extensive involvement of all the tarsal bones and metatarsal bases in a young adult. After excision his foot was reconstructed with vascularised bone flap. We were able to save his foot after a wide local excision and reconstruction with free fibula graft. Graft united early and showed excellent remodelling because of good vascularity. We feel that this method deserves consideration as a last attempt to salvage functional foot in disease like this.

摘要

尽管骨巨细胞瘤在年轻成年人中并不罕见，但同时累及多个中足骨却非常罕见且治疗困难。对于肿瘤切除后大段骨缺损的重建，游离带血管骨移植是一种极佳的手术选择。我们报告一例年轻成年人所有跗骨和跖骨基底广泛受累的病例。肿瘤切除后，采用带血管骨瓣对其足部进行了重建。通过广泛局部切除并游离腓骨移植重建后，我们成功保住了他的足部。由于血运良好，移植骨早期愈合且显示出极佳的塑形效果。我们认为，在处理此类疾病时，作为挽救功能性足部的最后尝试，这种方法值得考虑。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7375/3111110/cbcaabb8c985/IJPS-44-150-g012.jpg
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