Mavrogenis Andreas F, Galanopoulos John, Vottis Christos, Megaloikonomos Panayiotis D, Palmerini Emanuela, Kokkalis Zinon T
First Department of Orthopaedics, National and Kapodistrian University of Athens, School of Medicine, ATTIKON University Hospital, Athens, Greece.
First Department of Orthopaedics, Athens University Medical School, Athens, Greece.
J Long Term Eff Med Implants. 2016;26(1):79-87. doi: 10.1615/JLongTermEffMedImplants.2016013008.
Angiosarcoma of bone is a rare high-grade malignant vascular tumor accounting for <1% of malignant bone tumors. Tumor location in the distal radius is very rare. Complete surgical resection with limb salvage surgery or amputation is essential for the outcome of the patient. However, the literature is vague regarding the best surgical approach for resection of the distal radius and the optimal reconstruction option after a bone tumor resection. Several reconstruction techniques have been described, varying from arthrodesis to arthroplasties. In this article, we present a report of a patient with angiosarcoma of the distal radius treated with complete resection and reconstruction with a distal radius osteoarticular allograft. We discuss the advantages and the limitations of this surgical technique for the distal radius.
骨血管肉瘤是一种罕见的高级别恶性血管肿瘤，占恶性骨肿瘤的比例不到1%。肿瘤位于桡骨远端的情况非常罕见。对于患者的预后而言，采用保肢手术或截肢进行完整的手术切除至关重要。然而，关于桡骨远端切除的最佳手术方法以及骨肿瘤切除后的最佳重建方案，文献记载并不明确。已经描述了几种重建技术，从关节固定术到关节成形术各不相同。在本文中，我们报告了一例桡骨远端血管肉瘤患者，采用桡骨远端骨关节同种异体移植进行完整切除和重建的治疗情况。我们讨论了这种手术技术用于桡骨远端的优点和局限性。
