Sakamoto Akio, Okamoto Takeshi, Matsuda Shuichi
Department of Orthopaedic Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
J Surg Case Rep. 2019 Sep 16;2019(9):rjz252. doi: 10.1093/jscr/rjz252. eCollection 2019 Sep.
Giant cell tumor of bone (GCTB) is a locally aggressive tumor. En bloc resection to reduce the recurrence rate has a high risk of peroneal nerve paralysis and knee instability associated with collateral ligament resection. In the current report, the posterior approach to curettage is introduced in a 55-year-old male with GCTB in the proximal fibula. The approach makes a wide operative field for curettage of GCTB in the proximal fibula without dissecting the peroneal nerve. The approach would prevent postoperative peroneal nerve palsy and knee instability and possibly reduce recurrences.
骨巨细胞瘤（GCTB）是一种具有局部侵袭性的肿瘤。为降低复发率而进行的整块切除有腓总神经麻痹和与侧副韧带切除相关的膝关节不稳定的高风险。在本报告中，介绍了一名55岁近端腓骨骨巨细胞瘤男性患者采用后路刮除术的情况。该方法为近端腓骨骨巨细胞瘤的刮除术提供了广阔的手术视野，而无需解剖腓总神经。该方法可预防术后腓总神经麻痹和膝关节不稳定，并可能减少复发。
