Ouyang Zhengxiao, Xu Xuezheng, Li Linqing, Luo Yi, Liu Jianfan, Wang Xin, Yao Xinyu, Huang Gang, Li Xianan
Department of Orthopaedics, Hunan Cancer Hospital and The Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University, 283 Tongzipo Road, Changsha, Hunan, 410012, China.
World J Surg Oncol. 2015 May 22;13:187. doi: 10.1186/s12957-015-0604-8.
Recent advances in the management of bone tumors have led to a significant increase in the survival rates of patients with malignant bone tumors. Thus, limb salvage surgery has gained importance for preserving limb function in the management of bone tumors. However, surgery presents unique difficulties in terms of the biomechanics and obtaining a soft-tissue cover, such as when the ankle is involved in the primary malignant bone tumor. We report a case of chondrosarcoma of the distal tibia treated with wide en bloc resection arthrodesis and reconstruction of the defect using distraction osteogenesis, which offers an effective alternative protocol for limb salvage. The patient has remained disease free for 3 years since the initial surgery and can maintain normal limb athletic function.
骨肿瘤治疗的最新进展已使恶性骨肿瘤患者的生存率显著提高。因此，保肢手术在骨肿瘤治疗中对于保留肢体功能变得愈发重要。然而，手术在生物力学和获得软组织覆盖方面存在独特困难，比如当原发性恶性骨肿瘤累及踝关节时。我们报告一例经广泛整块切除关节融合术及采用牵张成骨术重建缺损治疗的胫骨远端软骨肉瘤病例，该方法为保肢提供了一种有效的替代方案。自初次手术以来，该患者已无病生存3年，且能维持正常的肢体运动功能。
