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肢体挽救重建:常见重建技术的放射学特征及其并发症

Limb salvage reconstruction: Radiologic features of common reconstructive techniques and their complications.

作者信息

Perez Jose R, Jose Jean, Mohile Neil V, Boden Allison L, Greif Dylan N, Barrera Carlos M, Conway Sheila, Subhawong Ty, Ugarte Ane, Pretell-Mazzini Juan

机构信息

Department of Orthopedic Surgery, University of Miami Miller School of Medicine, Jackson Memorial Hospital, 1600 NW 10th Ave, Miami, 33136, FL, USA.

Department of Radiology, University of Miami Miller School of Medicine, Jackson Memorial Hospital, 1600 NW 10th Ave, Miami, 33136, FL, USA.

出版信息

J Orthop. 2020 Mar 27;21:183-191. doi: 10.1016/j.jor.2020.03.043. eCollection 2020 Sep-Oct.

Abstract

Limb salvage surgery refers to orthopaedic procedures designed to resect tumors and reconstruct limbs. Improvements in managing malignant bone lesions have led to a dramatic shift in limb salvage procedures. Orthopaedic surgeons now employ four main reconstructive procedures: endoprosthesis, autograft, bulk allograft, and allograft prosthetic composite. While each approach has its advantages, each technique is associated with complications. Furthermore, knowledge of procedure specific imaging findings can lead to earlier complication diagnosis and improved clinical outcomes. The aim of this article is to review leading reconstructive options available for limb salvage surgery and present a case series illustrating the associated complications.

摘要

保肢手术是指旨在切除肿瘤并重建肢体的骨科手术。在恶性骨病变治疗方面的进展已导致保肢手术发生了巨大转变。骨科医生目前采用四种主要的重建手术:人工关节置换、自体骨移植、大块同种异体骨移植和异体骨-人工关节复合物。虽然每种方法都有其优点,但每种技术都伴有并发症。此外,了解特定手术的影像学表现有助于早期诊断并发症并改善临床结果。本文的目的是回顾保肢手术可用的主要重建选择,并呈现一系列说明相关并发症的病例。

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本文引用的文献

1
Postoperative Imaging of Sarcomas.肉瘤的术后影像学表现
AJR Am J Roentgenol. 2018 Sep;211(3):506-518. doi: 10.2214/AJR.18.19954. Epub 2018 Jun 21.
4
Advances in limb salvage treatment of osteosarcoma.骨肉瘤保肢治疗的进展
J Bone Oncol. 2017 Nov 26;10:36-40. doi: 10.1016/j.jbo.2017.11.005. eCollection 2018 Mar.
6
Intercalary reconstructions after bone tumor resections: a review of treatments.骨肿瘤切除术后的节段性重建:治疗方法综述
Eur J Orthop Surg Traumatol. 2017 Aug;27(6):737-746. doi: 10.1007/s00590-017-1985-x. Epub 2017 Jun 5.
7
Radiographic assessment of distal femur cemented stems in tumor endoprostheses.肿瘤假体中股骨远端骨水泥柄的影像学评估
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8
Radiologic Approach to Musculoskeletal Infections.肌肉骨骼感染的放射学检查方法
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