采用两阶段手术治疗的拇指近节指骨巨细胞瘤。
The giant cell tumour of the proximal phalanx of the thumb treated by a 2-stage operation.
作者信息
Reichert Paweł, Kowalski Przemysław, Gosk Jerzy
机构信息
Department of Traumatology, Clinic of Traumatology and Hand Surgery, Wroclaw Medical University, Wrocław, Poland.
Department of Pathomorphology and Oncological Cytology, Wroclaw Medical University, Wrocław, Poland.
出版信息
Acta Orthop Traumatol Turc. 2017 Oct;51(5):425-428. doi: 10.1016/j.aott.2017.03.015. Epub 2017 Apr 24.
We present a 29-year-old woman who was treated for a giant-cell tumour of her thumb. Surgical treatment was performed in two stages. In the first stage, the tumour was removed and the first metacarpal and distal phalanges were fixed by an external fixator. In the second stage of reconstruction of the thumb, a cortico-cancellous bone graft from the iliac crest, an external fixator and double arthrodesis were used. This two-stage procedure provides the possibility for confirming the diagnosis and appropriate treatment choice and minimizes the risk of recurrence.
我们报告一名29岁女性，她因拇指巨细胞瘤接受治疗。手术分两阶段进行。第一阶段，切除肿瘤，并用外固定器固定第一掌骨和远节指骨。在拇指重建的第二阶段，使用了取自髂嵴的皮质松质骨移植、外固定器和双关节固定术。这种两阶段手术为确诊和选择合适的治疗方法提供了可能，并将复发风险降至最低。
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