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髋关节肿瘤型假体：开放性问题。

Hip megaprosthesis in oncological surgery: open questions.

机构信息

Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Italia.

Università Cattolica del Sacro Cuore, Roma, Italia.

出版信息

J Biol Regul Homeost Agents. 2019 Mar-Apr;33(2 Suppl. 1):45-49. XIX Congresso Nazionale S.I.C.O.O.P. Societa' Italiana Chirurghi Ortopedici Dell'ospedalita' Privata Accreditata.

PMID:31169002
Abstract

Prosthetic replacement with modular implants has become the most common reconstructive tech¬nique of bone loss of the lower limb after tumour resection. The use of the megaprosthesis in bone metastasis, silver-coated megaprosthesis and the use of Trevira tube are not uniform and represent an "open question" about the use of megaprosthesis. The following paper aims to review the current literature in this topic.

摘要

肿瘤切除术后下肢骨缺损的重建中，采用模块化假体进行假体置换已成为最常见的技术。在骨转移瘤中使用假体、银涂层假体和使用特吕维尔管并不统一，这代表了对假体使用的一个“未解决的问题”。本文旨在对该主题的现有文献进行综述。

相似文献

1
Hip megaprosthesis in oncological surgery: open questions.髋关节肿瘤型假体：开放性问题。
J Biol Regul Homeost Agents. 2019 Mar-Apr;33(2 Suppl. 1):45-49. XIX Congresso Nazionale S.I.C.O.O.P. Societa' Italiana Chirurghi Ortopedici Dell'ospedalita' Privata Accreditata.
2
Silver-coated endoprosthetic replacement of the proximal humerus in case of tumour-is there an increased risk of periprosthetic infection by using a trevira tube?肿瘤情况下近端肱骨的银涂层假体置换——使用聚酯纤维管会增加假体周围感染的风险吗？
Int Orthop. 2017 Feb;41(2):423-428. doi: 10.1007/s00264-016-3329-6. Epub 2016 Nov 9.
3
Modular megaprosthesis reconstruction for oncological and non-oncological resection of the elbow joint.用于肘关节肿瘤性和非肿瘤性切除的模块化大假体重建
Injury. 2016 Oct;47 Suppl 4:S78-S83. doi: 10.1016/j.injury.2016.07.041. Epub 2016 Aug 18.
4
Infective complications in tumour endoprostheses implanted after pathological fracture of the limbs.肢体病理性骨折后植入肿瘤假体的感染性并发症。
Injury. 2016 Oct;47 Suppl 4:S22-S28. doi: 10.1016/j.injury.2016.07.054. Epub 2016 Aug 25.
5
Silver-Coated Hip Megaprosthesis in Oncological Limb Savage Surgery.肿瘤肢体挽救手术中的镀银髋关节大假体
Biomed Res Int. 2016;2016:9079041. doi: 10.1155/2016/9079041. Epub 2016 Aug 23.
6
Effect of an Endoprosthetic Reconstruction Tube and Medial Gastrocnemius Flap on Extensor Mechanism Function After Oncologic Prosthesis Reconstruction of the Proximal Tibia.内置假体重建管和腓肠肌内侧瓣对胫骨近端肿瘤假体重建后伸肌机制功能的影响。
J Arthroplasty. 2022 Nov;37(11):2233-2238. doi: 10.1016/j.arth.2022.05.042. Epub 2022 May 29.
7
Lower limb reconstruction in tumor patients using modular silver-coated megaprostheses with regard to perimegaprosthetic joint infection: a case series, including 100 patients and review of the literature.关于肿瘤患者使用模块化镀银大假体进行下肢重建及假体周围关节感染的病例系列研究：100例患者及文献综述
Arch Orthop Trauma Surg. 2017 Feb;137(2):149-153. doi: 10.1007/s00402-016-2584-8. Epub 2016 Oct 25.
8
Constrained total hip megaprosthesis for primary periacetabular tumors.髋臼周围原发性肿瘤的受限型全髋关节假体置换。
Clin Orthop Relat Res. 2013 Mar;471(3):741-9. doi: 10.1007/s11999-012-2625-8.
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Survival of modern knee tumor megaprostheses: failures, functional results, and a comparative statistical analysis.现代膝关节肿瘤假体的生存率：失败情况、功能结果及比较性统计分析
Clin Orthop Relat Res. 2015 Mar;473(3):891-9. doi: 10.1007/s11999-014-3699-2.
10
Levels of silver ions in body fluids and clinical results in silver-coated megaprostheses after tumour, trauma or failed arthroplasty.肿瘤、创伤或关节置换失败后使用镀银大假体的患者体液中银离子水平及临床结果。
Injury. 2016 Oct;47 Suppl 4:S11-S16. doi: 10.1016/j.injury.2016.07.042. Epub 2016 Aug 11.

引用本文的文献

1
Soft Tissue Reconstruction and Integration to Implant After Bone-Tumor Resection: A Current Concept Review.骨肿瘤切除术后的软组织重建与植入体整合：当前概念综述。
Curr Oncol. 2024 Nov 15;31(11):7190-7203. doi: 10.3390/curroncol31110531.
2
The major proximal femoral defects: megaprosthesis in non oncological patients - A case series.主要股骨近端缺损：非肿瘤患者的大假体置换——病例系列
Orthop Rev (Pavia). 2023 Jan 28;15:38432. doi: 10.52965/001c.38432. eCollection 2023.
3
The iliac stemmed cup in reconstruction of the acetabular defects secondary to tumor resection: a systematic review of literature.
髂骨柄杯在肿瘤切除术后髋臼缺损重建中的应用：文献系统评价。
Arch Orthop Trauma Surg. 2023 Jun;143(6):3659-3667. doi: 10.1007/s00402-022-04639-3. Epub 2022 Oct 1.
4
Intramedullary nailing vs modular megaprosthesis in extracapsular metastases of proximal femur: clinical outcomes and complication in a retrospective study.髓内钉与模块化假体在股骨近端囊外转移中的应用：回顾性研究中的临床结果和并发症。
BMC Musculoskelet Disord. 2022 Sep 13;22(Suppl 2):1069. doi: 10.1186/s12891-022-05728-5.
5
Three-Dimension-Printed Custom-Made Prosthetic Reconstructions in Bone Tumors: A Single Center Experience.三维打印定制假体重建在骨肿瘤中的应用：单中心经验。
Curr Oncol. 2022 Jun 28;29(7):4566-4577. doi: 10.3390/curroncol29070361.
6
Use of muscular flaps for the treatment of knee prosthetic joint infection: A systematic review.肌肉瓣在膝关节假体周围感染治疗中的应用：一项系统评价
Orthop Rev (Pavia). 2022 Apr 25;14(2):33943. doi: 10.52965/001c.33943. eCollection 2022.
7
A Novel 3D Light Assisted Drawing (3D-LAD) Method to Aid Intraoperative Reproduction of Osteotomy Lines Surrounding a Bone Tumor During Wide Resection: An Experimental Study.一种新型三维光辅助绘图（3D-LAD）方法辅助骨肿瘤广泛切除术中骨肿瘤周围截骨线的术中重现：一项实验研究
Orthop Res Rev. 2022 Apr 8;14:101-109. doi: 10.2147/ORR.S349240. eCollection 2022.
8
Use of muscular flaps for the treatment of hip prosthetic joint infection: a systematic review.使用肌肉皮瓣治疗髋关节假体关节感染：系统评价。
BMC Musculoskelet Disord. 2021 Dec 23;22(Suppl 2):1059. doi: 10.1186/s12891-021-04945-8.
9
The influence of different THA surgical approaches on Patient's early postoperative anxiety and depression.不同全髋关节置换术手术入路对患者术后早期焦虑和抑郁的影响。
BMC Musculoskelet Disord. 2021 Oct 8;22(1):858. doi: 10.1186/s12891-021-04746-z.
10
Cemented cementless megaprosthesis in proximal femur metastatic disease: A systematic review.股骨近端转移性疾病中骨水泥型与非骨水泥型大型假体：一项系统评价。
Orthop Rev (Pavia). 2020 Jun 26;12(Suppl 1):8689. doi: 10.4081/or.2020.8689. eCollection 2020 Jun 29.