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骨肿瘤中胫骨远端切除术。

Resection of the distal tibia in bone tumours.

作者信息

Ruggieri P, Capanna R, Biagini R, Casadei R, Campanacci M

机构信息

First University Clinic, Rizzoli Orthopaedic Institute, Bologna.

出版信息

Ital J Orthop Traumatol. 1987 Sep;13(3):299-305.

PMID:3330727
Abstract

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.

摘要

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。

相似文献

1
Resection of the distal tibia in bone tumours.骨肿瘤中胫骨远端切除术。
Ital J Orthop Traumatol. 1987 Sep;13(3):299-305.
2
[Massive bone allografts in large bone defects after tumor surgery: a clinical long-term study].[肿瘤手术后大骨缺损的大块骨移植:一项临床长期研究]
Gan To Kagaku Ryoho. 1989 Apr;16(4 Pt 2-3):1820-6.
3
Arthrodesis of the knee after tumor resection: a comparison between autografts and allografts.
Chir Organi Mov. 1995 Jan-Mar;80(1):29-37.
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Ankle arthrodesis with bone graft after distal tibia resection for bone tumors.胫骨远端骨肿瘤切除术后带骨移植的踝关节融合术。
Foot Ankle Int. 2008 Oct;29(10):1031-7. doi: 10.3113/FAI.2008.1031.
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Reconstruction by Grosse-Kempf nailing in resections for bone tumor.采用格罗斯-肯普夫髓内钉重建治疗骨肿瘤切除术。
Chir Organi Mov. 1996 Jan-Mar;81(1):31-41.
6
[Resection-arthrodesis of the knee for bone tumours (author's transl)].膝关节骨肿瘤切除关节融合术(作者译)
Rev Chir Orthop Reparatrice Appar Mot. 1978 Jun;64(4):323-32.
7
Wide resection of primary tumors of bone and replacement with massive bone grafts: an improved technique for transplanting allogeneic bone grafts.
Clin Orthop Relat Res. 1978 Jul-Aug(134):302-19.
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[Application of medial head gastrocnemius muscle flap to limb-salvage operation of proximal tibial malignant tumor].腓肠肌内侧头肌瓣在胫骨近端恶性肿瘤保肢手术中的应用
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2007 Apr;21(4):352-5.
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[Limb salvage with osteoarticular allografts after resection of proximal tibia bone].[胫骨近端骨切除术后同种异体骨关节移植保肢术]
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2006 Oct;20(10):966-9.
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Custom prosthetic reconstruction for proximal tibial osteosarcoma with proximal tibiofibular joint involved.累及胫腓近侧关节的胫骨近端骨肉瘤的定制假体重建
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引用本文的文献

1
Reconstructive Challenges of Distal Tibia Bone Tumors: Extracorporeally Irradiated Autograft Combined with a Nonvascularized Autograft Fibula for Superior Reconstruction and Functional Outcomes When Compared to Ipsilateral Pedicled Fibula Transfer Alone.胫骨远端骨肿瘤的重建挑战:与单纯同侧带蒂腓骨转移相比,体外照射自体骨移植联合非血管化自体腓骨移植可实现更优的重建和功能结果。
Sarcoma. 2021 Mar 23;2021:6624550. doi: 10.1155/2021/6624550. eCollection 2021.
2
Ankle fusion with centralisation of the fibula after distal tibia bone tumour resection.腓骨在胫骨骨肿瘤切除术后的中心固定踝关节融合术。
J Orthop Traumatol. 2014 Jun;15(2):95-101. doi: 10.1007/s10195-013-0279-2. Epub 2013 Dec 15.
3
Treatment of primary malignant bone tumours of the distal tibia.
胫骨远端原发性恶性骨肿瘤的治疗
Int Orthop. 2005 Aug;29(4):255-9. doi: 10.1007/s00264-005-0656-4. Epub 2005 Jun 11.