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锁骨良性肿瘤切除术后采用非血管化腓骨自体骨移植重建。

Reconstruction with non-vascularized fibular autograft after resection of clavicular benign tumor.

作者信息

Cahueque Mario, Macias Daniel, Moreno Guillermo

机构信息

Ortopedia y Traumatología, Hospital Centro Médico nacional de Occidente, Guadalajara, Mexico.

Oncology-Orthopedic Surgeon, Ortopedia y Traumatología, Hospital Centro Médico Nacional de Occidente, Guadalajara, Mexico.

出版信息

J Orthop. 2015 Nov 11;12(Suppl 2):S255-9. doi: 10.1016/j.jor.2015.10.008. eCollection 2015 Dec.

Abstract

Chondroblastoma is a rare, benign cartilaginous neoplasm that accounts for approximately 1% of all bone tumors, and approximately 4% of all chondroblastomas arise in the clavicle. Here, we report a case of chondroblastoma in the right clavicle. 27-year-old female patient presented with a 12-month history of shoulder pain. Based on radiological and pathological examination, the diagnosis was compatible with chondroblastoma. After resection of the tumor, 1 cm of the distal clavicle was preserved, 15 cm of the non-vascularized fibula was taken from the contralateral leg and placed on the site of the clavicle and fixed with hook plate at distal clavicle and reconstruction plate attached to the sternum. 13 months of follow-up is scheduled for removal of osteosynthesis material, finding full consolidation of sternoclavicular segment and the distal segment. A good functional outcome was apparent after a limited 14-month follow-up, and the patient was highly satisfied with the result. We found no recurrence or metastasis.

摘要

软骨母细胞瘤是一种罕见的良性软骨肿瘤,约占所有骨肿瘤的1%,约4%的软骨母细胞瘤发生于锁骨。在此,我们报告一例右锁骨软骨母细胞瘤病例。一名27岁女性患者有12个月的肩部疼痛病史。基于影像学和病理检查,诊断为软骨母细胞瘤。肿瘤切除后,保留了1cm的锁骨远端,从对侧腿部取15cm的非血管化腓骨置于锁骨部位,并用钩板固定于锁骨远端,用重建钢板连接胸骨。计划在13个月的随访后取出内固定材料,发现胸锁关节段和远端节段完全愈合。经过有限的14个月随访,功能恢复良好,患者对结果非常满意。我们未发现复发或转移。

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本文引用的文献

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Chondroblastoma: a clinico-pathological analysis.
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Surgical treatment of clavicular malignancies.锁骨恶性肿瘤的外科治疗。
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Primary tumours and tumorous lesions of clavicle.锁骨的原发性肿瘤和肿瘤性病变
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