Rabitsch Katharina, Maurer-Ertl Werner, Pirker-Frühauf Ulrike, Lovse Thomas, Windhager Reinhard, Leithner Andreas
Department of Orthopaedic Surgery, Medical University of Graz, Auenbruggerplatz 5, 8036 Graz, Austria.
Sarcoma. 2013;2013:318767. doi: 10.1155/2013/318767. Epub 2013 Apr 3.
Reconstruction of the distal radius following tumour resection is challenging and various techniques are recorded. We retrospectively analysed the outcome of five patients (one male and four females) after reconstruction of the distal radius with osteoarticular allograft, following tumour resection. Mean followup was 32 months (range, 4-121). In three of the five patients the dominant limb was affected. Mean bone resection length was 6.5 centimetres (range, 5-11.5). Two grafts developed nonunion, both successfully treated with autologous bone grafting. No infection, graft fracture, or failure occurred. Mean flexion/extension was 38/60 degrees and mean pronation/supination was 77/77 degrees. The mean Mayo wrist score was 84 and the mean DASH score was 8, both representing a good functional result. Therefore we state the notion that osteoarticular allograft reconstruction of distal radius provides good to excellent functional results.
肿瘤切除术后桡骨远端的重建具有挑战性，且有多种技术被记录下来。我们回顾性分析了5例患者（1例男性和4例女性）在肿瘤切除后采用骨关节同种异体移植重建桡骨远端的结果。平均随访时间为32个月（范围4 - 121个月）。5例患者中有3例优势肢体受累。平均骨切除长度为6.5厘米（范围5 - 11.5厘米）。2例移植骨发生骨不连，均通过自体骨移植成功治疗。未发生感染、移植骨骨折或失败。平均屈伸角度为38/60度，平均旋前/旋后角度为77/77度。平均梅奥腕关节评分为84分，平均DASH评分为8分，均代表良好的功能结果。因此，我们认为桡骨远端骨关节同种异体移植重建可提供良好至优异的功能结果。
