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Masquelet 技术在股骨近端干骺端软骨肉瘤广泛切除后挽救性重建:病例报告。

Salvage Reconstruction With the Masquelet Technique Following Wide Resection for Chondrosarcoma of the Proximal Femoral Metaphysis: A Case Report.

机构信息

Department of Orthopaedic Surgery, Fukushima Medical University School of Medicine, Fukushima, Japan

Higashi-Shirakawa Orthopaedic Academy, Fukushima Medical University School of Medicine, Fukushima, Japan.

出版信息

In Vivo. 2020 Nov-Dec;34(6):3495-3501. doi: 10.21873/invivo.12190.

Abstract

BACKGROUND

Bone reconstruction following a wide resection for a malignant musculoskeletal tumor remains challenging, especially for an intercalary defect following the resection of a metaphyseal lesion.

CASE REPORT

Here, we describe a surgical procedure using the Masquelet technique for the biological reconstruction of a huge subtrochanteric bone defect following failed pasteurized autologous bone grafting for a conventional chondrosarcoma of the proximal femoral metaphysis with a subtrochanteric pathological fracture. The patient, a 43-year-old Japanese male, was able to walk without a cane or a brace at 15 months after the final operation (International Society of Limb Salvage score, 86.7%).

CONCLUSION

This procedure should be considered as one of the reconstruction options following the wide resection of malignant bone tumors located in the metaphysis.

摘要

背景

广泛切除恶性肌肉骨骼肿瘤后的骨重建仍然具有挑战性,特别是对于骨干病变切除后的节段性缺损。

病例报告

在此,我们描述了一种使用 Masquelet 技术的手术程序,用于重建股骨近端干骺端常规软骨肉瘤伴转子下病理性骨折的灭活自体骨移植失败后的巨大转子下骨缺损。该患者为 43 岁日本男性,末次手术后 15 个月无需拐杖或支具即可行走(国际保肢协会评分,86.7%)。

结论

该方法应被视为骨干处恶性骨肿瘤广泛切除后的重建选择之一。

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