Gómez-Palomo Juan M, Jiménez-Garrido Carlos, Martínez-Crespo Ana, García-Vera Juan J, Pérez-Cardeña Javier, Montañez-Heredia Elvira
Department of Orthopedic Surgery and Traumatology, Hospital Universitario Virgen de la Victoria, Málaga, Spain.
Instituto de Investigación Biomédica de Málaga (IBIMA), Hospital Universitario Virgen de la Victoria, Málaga, Spain.
JBJS Case Connect. 2019 Jul-Sep;9(3):e0277. doi: 10.2106/JBJS.CC.18.00277.
A 24-year-old female diagnosed with fibroblastic osteosarcoma of the patella underwent a total patellectomy and surgical reconstruction with a large bone-tendon allograft of the extensor mechanism and adjuvant chemotherapy. At 5 years' postoperative, the patient has adequate disease control and excellent joint function.
Reconstruction with an extensor mechanism allograft is an appropriate alternative for patients with malignant patella tumors without tumor contamination of the joint, allowing for satisfactory knee function and disease control.
一名24岁被诊断为髌骨纤维母细胞性骨肉瘤的女性患者接受了全髌骨切除术，并使用伸肌机制的大骨腱同种异体移植物进行手术重建及辅助化疗。术后5年，患者疾病得到充分控制，关节功能良好。
对于关节未受肿瘤污染的髌骨恶性肿瘤患者，使用伸肌机制同种异体移植物进行重建是一种合适的选择，可实现令人满意的膝关节功能和疾病控制。
