Kuner E H
Abteilung Unfallchirurgie, Albert-Ludwigs-Universität Freiburg/Brsg.
Langenbecks Arch Chir Suppl II Verh Dtsch Ges Chir. 1989:503-7.
The aim of the treatment in cases of impending or manifest fracture within the area of a benign of semimalignant bone neoplasm is total osseous healing with a complete as possible preservation of function. In case of benign tumors and tumorlike alterations satisfactory results are often achieved by thorough curettage, perforation of sclerotic ridges and extensive cancellous tissue grafts. Relapses are often due to inadequate operative techniques. Semimalignant osteoclastomas require frozen section. Even in cases of disadvantageous localisations (neck of the femur, proximity to acetabulum, proximity to wrist), meticulously executed electrocauterisation allows a more radical operation and the maintenance of function of the joint.
对于良性或半恶性骨肿瘤区域内即将发生或已出现骨折的病例,治疗目的是实现完全骨愈合,并尽可能完整地保留功能。对于良性肿瘤和肿瘤样病变,通过彻底刮除、凿穿硬化嵴以及广泛的松质骨移植,通常可取得满意的效果。复发往往是由于手术技术不充分所致。半恶性骨巨细胞瘤需要进行冷冻切片检查。即使在不利的部位(股骨颈、靠近髋臼、靠近腕关节),精心实施的电灼术也能进行更彻底的手术,并维持关节功能。