Tan Tien Jin, Aljefri Ahmad M, Clarkson Paul W, Masri Bassam A, Ouellette Hugue A, Munk Peter L, Mallinson Paul I
Department of Radiology, Vancouver General Hospital, Vancouver, BC, Canada.
Department of Radiology, Vancouver General Hospital, Vancouver, BC, Canada.
Eur J Radiol. 2015 Sep;84(9):1782-90. doi: 10.1016/j.ejrad.2015.06.002. Epub 2015 Jun 6.
Advances in reconstructive orthopaedic techniques now allow for limb salvage and prosthetic reconstruction procedures to be performed on patients who would otherwise be required to undergo debilitating limb amputations for malignant bone tumours. The resulting post-operative imaging of such cases can be daunting for the radiologist to interpret, particularly in the presence of distorted anatomy and unfamiliar hardware. This article reviews the indications for limb salvage surgery, prosthetic reconstruction devices involved, expected post-operative imaging findings, as well as the potential hardware related complications that may be encountered in the management of such cases.
重建骨科技术的进步现在使得肢体挽救和假体重建手术能够应用于那些否则将因恶性骨肿瘤而需要接受使人虚弱的肢体截肢手术的患者。这类病例术后的影像对于放射科医生来说可能很难解读，尤其是在解剖结构扭曲且存在不熟悉的硬件的情况下。本文回顾了肢体挽救手术的适应证、所涉及的假体重建装置、预期的术后影像表现，以及在此类病例管理中可能遇到的与硬件相关的潜在并发症。
