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全跟骨切除及双侧髂骨骨移植重建治疗累及动脉瘤样骨囊肿的跟骨软骨母细胞瘤:病例报告及文献复习。

Total Calcanectomy and Bilateral Iliac Bone Autograft Reconstruction for the Treatment of Calcaneal Chondroblastoma Involving a Secondary Aneurysmal Bone Cyst: A Case Report and Literature Review.

机构信息

Surgeon, Department of Orthopaedic Surgery, The First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China.

Resident, First Clinical Medical College, Guangzhou University of Chinese Medicine, Guangzhou, China.

出版信息

J Foot Ankle Surg. 2020 May-Jun;59(3):616-624. doi: 10.1053/j.jfas.2019.10.001.

Abstract

Chondroblastoma is a rare, benign, cartilaginous-derived tumor accounting for ∼1% to 2% of all primary bone tumors and almost 9% of all benign bone tumors. In this case report, we describe a patient with chondroblastoma and a secondary aneurysmal bone cyst, with the adjacent talus being mildly affected. The initial diagnosis was giant cell tumor and was then confirmed after computed tomography-assisted biopsy. We performed a total calcanectomy via bilateral structural iliac bone autografting to relieve pain and reconstruct the loadbearing function because of the presence of extensive lesions. The patient was pain free and expressed satisfaction with postsurgical dorsiflexion and plantarflexion function at the 60-month follow-up visit. Radiographic images showed that the autografted iliac bone was completely healed, with no evidence of local recurrence.

摘要

成软骨细胞瘤是一种罕见的良性软骨源性肿瘤,约占所有原发性骨肿瘤的 1%至 2%,几乎占所有良性骨肿瘤的 9%。在本病例报告中,我们描述了一名患有成软骨细胞瘤和继发性动脉瘤样骨囊肿的患者,其相邻距骨受到轻度影响。最初的诊断是巨细胞瘤,在计算机断层扫描辅助活检后得到确认。由于广泛病变的存在,我们通过双侧结构性髂骨自体移植进行了全跟骨切除术,以缓解疼痛并重建承重功能。患者在 60 个月的随访中无疼痛,并对术后背屈和跖屈功能表示满意。影像学图像显示,自体移植的髂骨完全愈合,无局部复发的证据。

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