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