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旋转成形术:美在观者眼中。

Rotationplasty: Beauty is in the Eye of the Beholder.

作者信息

Bernthal Nicholas M, Monument Michael J, Randall R Lor, Jones Kevin B

机构信息

Sacoma Services, Department of Orthopaedics, University of Utah.

出版信息

Oper Tech Orthop. 2014 Jun 1;24(2):103-110. doi: 10.1053/j.oto.2013.11.001.

DOI:10.1053/j.oto.2013.11.001
PMID:25414567
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4234076/
Abstract

Rotationplasty is an alternative reconstructive strategy after sarcoma resection that often gets overlooked due to concerns about cosmesis. "Rotating" a distal segment 180 degrees and fixing it to a proximal segment leaves a highly-functional, durable reconstruction that functionally compares favorably to other limb-salvage techniques. Cosmetic outcomes have no discernible impact of the emotional and social functioning of cancer survivors following rotationplasty. This chapter discusses techniques of rotationplasty, as well as its oncologic, functional and emotional outcomes.

摘要

旋转成形术是肉瘤切除术后一种可供选择的重建策略,但由于对美观的担忧,它常常被忽视。将远端节段“旋转”180度并固定到近端节段,可形成一种功能高度良好、持久的重建,其功能与其他保肢技术相比具有优势。旋转成形术后,美观效果对癌症幸存者的情绪和社交功能没有明显影响。本章将讨论旋转成形术的技术,以及其肿瘤学、功能和情绪方面的结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77c9/4234076/7080c9fb072c/nihms599080f6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77c9/4234076/57eb9d6fd472/nihms599080f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77c9/4234076/8df1b79a3da0/nihms599080f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77c9/4234076/afdca30c57b6/nihms599080f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77c9/4234076/ffd554757b19/nihms599080f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77c9/4234076/f004a3b7e9cf/nihms599080f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77c9/4234076/7080c9fb072c/nihms599080f6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77c9/4234076/57eb9d6fd472/nihms599080f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77c9/4234076/8df1b79a3da0/nihms599080f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77c9/4234076/afdca30c57b6/nihms599080f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77c9/4234076/ffd554757b19/nihms599080f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77c9/4234076/f004a3b7e9cf/nihms599080f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77c9/4234076/7080c9fb072c/nihms599080f6.jpg

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Oper Tech Orthop. 2014 Jun 1;24(2):103-110. doi: 10.1053/j.oto.2013.11.001.
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本文引用的文献

1
Principles of rotationplasty.旋转成形术的原则。
J Am Acad Orthop Surg. 2012 Oct;20(10):657-67. doi: 10.5435/JAAOS-20-10-657.
2
A new incision technique to reduce tibiofemoral mismatch in rotationplasty.旋转成形术中一种减小胫股不匹配的新切口技术。
Clin Orthop Relat Res. 2010 May;468(5):1264-8. doi: 10.1007/s11999-009-1093-2. Epub 2009 Sep 15.
3
Complications and risk factors for failure of rotationplasty: review of 25 patients.旋转成形术失败的并发症及危险因素:25例患者的回顾分析
BMC Surg. 2022 Sep 7;22(1):333. doi: 10.1186/s12893-022-01780-z.
4
A population-based analysis of the presentation and outcomes of pediatric patients with osteosarcoma in Canada: a report from CYP-C.基于人群的加拿大儿童骨肉瘤患者的临床表现和结局的分析:CYP-C 的报告。
Can J Surg. 2022 Aug 12;65(4):E527-E533. doi: 10.1503/cjs.008220. Print 2022 Jul-Aug.
5
Rotationplasty Salvage Procedure as an Effective Alternative to Femoral Amputation in an Adult With a History of Osteosarcoma: A Case Report and Review.旋转成形挽救手术作为骨肉瘤病史成人股骨截肢的有效替代方案:一例病例报告及文献复习
Front Surg. 2022 Jan 7;8:820019. doi: 10.3389/fsurg.2021.820019. eCollection 2021.
6
Immediate rotationplasty for a severely crushed floating knee in a blast injury: A case report.爆炸伤中严重粉碎性浮动膝的即刻旋转成形术:一例报告
Trauma Case Rep. 2021 Dec 28;37:100600. doi: 10.1016/j.tcr.2021.100600. eCollection 2022 Feb.
7
Imaging following surgery for primary appendicular bone tumours.术后原发性附肢骨肿瘤的影像学检查。
Skeletal Radiol. 2021 Aug;50(8):1527-1555. doi: 10.1007/s00256-021-03712-z. Epub 2021 Jan 22.
8
Salvage of a Below Knee Amputation Utilizing Rotationplasty Principles in a Patient with Chronic Tibial Osteomyelitis.利用旋转成形术原则挽救慢性胫骨骨髓炎患者的膝下截肢
J Orthop Case Rep. 2016 Apr-Jun;6(2):57-62. doi: 10.13107/jocr.2250-0685.434.
9
Long-term functional outcome and quality of life following rotationplasty for treatment of malignant tumors.旋转成形术治疗恶性肿瘤后的长期功能结果和生活质量。
BMC Musculoskelet Disord. 2015 Sep 24;16:262. doi: 10.1186/s12891-015-0721-0.
Clin Orthop Relat Res. 2008 Jun;466(6):1302-8. doi: 10.1007/s11999-008-0231-6. Epub 2008 Apr 11.
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Sports activities and endurance capacity of bone tumor patients after rotationplasty.旋转成形术后骨肿瘤患者的体育活动与耐力能力
Arch Phys Med Rehabil. 2007 Jul;88(7):885-90. doi: 10.1016/j.apmr.2007.04.004.
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Evaluation of postoperative general quality of life for patients with osteosarcoma around the knee joint.膝关节周围骨肉瘤患者术后总体生活质量评估
J Pediatr Orthop B. 2007 Jul;16(4):269-72. doi: 10.1097/BPB.0b013e3280925670.
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Concomitant arterial and venous reconstruction with resection of lower extremity sarcomas.下肢肉瘤切除术中的同期动静脉重建。
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[Gait analysis after rotationplasty hip surgery for malignant tumor of the proximal femur].[股骨近端恶性肿瘤旋转成形术后的步态分析]
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