UT Southwestern Medical Center, Dallas, Texas.
The University of Texas MD Anderson Cancer Center, Houston, Texas.
JBJS Case Connect. 2020 Dec 21;10(4):e20.00046. doi: 10.2106/JBJS.CC.20.00046.
A 47-year-old woman with adamantinoma of the entire left tibia and distal fibula underwent resection and reconstruction using a total tibia allograft-prosthetic composite with rotating hinged knee replacement and ankle fusion. She is ambulating without tumor recurrence with 2-year follow-up.
This case report offers a unique reconstruction option for extensive tibia bone primary malignancy. To our knowledge, this is the longest survival for total tibia allograft prosthetic composite reconstruction.
一名 47 岁女性,左胫骨全长和腓骨远端患有骨巨细胞瘤,采用全胫骨同种异体移植-假体复合材料进行切除和重建,同时行旋转铰链式膝关节置换和踝关节融合。随访 2 年,患者无肿瘤复发,可步行。
本病例报告为广泛胫骨原发性恶性肿瘤提供了一种独特的重建选择。据我们所知,这是全胫骨同种异体移植-假体复合材料重建的最长生存时间。