Ruggieri P, Capanna R, Biagini R, Casadei R, Campanacci M
First University Clinic, Rizzoli Orthopaedic Institute, Bologna.
Ital J Orthop Traumatol. 1987 Sep;13(3):299-305.
The authors report five cases of tumour of the distal tibia treated by resection and reconstruction by autoplastic grafting and tibiotarsal arthrodesis with fixation by a Kuntscher nail or a plate. This type of surgery is indicated for the treatment of benign tumours, aggressive pseudotumours (Enneking stage 3), or for Enneking stage 1A or 2A malignant tumours. Infection was the most frequent complication (2 out of 5 cases, both of which healed after surgical cleansing). The long-term functional results were good in all cases, and there was neither pseudoarthrosis nor recurrence.
作者报告了5例胫骨远端肿瘤的病例,这些病例采用自体移植、胫跗关节融合术并使用克氏针或钢板固定进行切除和重建治疗。这种手术方式适用于治疗良性肿瘤、侵袭性假肿瘤(Enneking 3期),或Enneking 1A或2A期恶性肿瘤。感染是最常见的并发症(5例中有2例,均在手术清创后愈合)。所有病例的长期功能结果良好,既无骨不连也无复发。