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MUTARS® 肱骨换股骨置换术:一种针对幼儿股骨恶性骨肿瘤切除术后的新型重建手术。

MUTARS® Humero pro Femur replacement: A novel reconstructive procedure after malignant bone tumor resection of the femur in young children.

作者信息

Gosheger Georg, Schulze Martin, Mathilda de Vaal Marieke, Theil Christoph, Schneider Kristian, Laufer Andrea

机构信息

General Orthopedics and Tumor Orthopedics, University Hospital Muenster, Muenster, Germany.

出版信息

J Bone Oncol. 2022 Jul 2;35:100444. doi: 10.1016/j.jbo.2022.100444. eCollection 2022 Aug.

DOI:10.1016/j.jbo.2022.100444
PMID:35855932
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9287182/
Abstract

Limb-preserving surgery in young children suffering malignant bone tumor of the femur is challenging due to the specific anatomical conditions. Extendable tumor endoprostheses are often oversized, while custom-made endoprostheses do not provide the intraoperatively required variability regarding reconstruction length. Allo- and autograft replacements, on the other hand, show high complication and revision rates. We report a novel reconstructive procedure after resection of malignant bone tumors of the femur in young children, and present our preliminary results of this technique.

摘要

由于特定的解剖条件,对患有股骨恶性骨肿瘤的幼儿进行保肢手术具有挑战性。可延长肿瘤内置假体往往尺寸过大,而定制的内置假体在重建长度方面无法提供术中所需的可变性。另一方面,同种异体移植和自体移植置换显示出较高的并发症和翻修率。我们报告了一种针对幼儿股骨恶性骨肿瘤切除后的新型重建手术,并展示了该技术的初步结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/22b2/9287182/4bfbdd525c3d/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/22b2/9287182/a7e82eb2cce5/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/22b2/9287182/d82cb8c45ca1/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/22b2/9287182/31270e5e17c7/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/22b2/9287182/a3836a65c5a4/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/22b2/9287182/4bfbdd525c3d/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/22b2/9287182/a7e82eb2cce5/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/22b2/9287182/d82cb8c45ca1/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/22b2/9287182/31270e5e17c7/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/22b2/9287182/a3836a65c5a4/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/22b2/9287182/4bfbdd525c3d/gr5.jpg

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MUTARS® Humero pro Femur replacement: A novel reconstructive procedure after malignant bone tumor resection of the femur in young children.MUTARS® 肱骨换股骨置换术:一种针对幼儿股骨恶性骨肿瘤切除术后的新型重建手术。
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本文引用的文献

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A long-term experience with Mutars tumor megaprostheses: analysis of 187 cases.穆塔尔斯肿瘤大假体的长期经验:187例分析。
Eur J Trauma Emerg Surg. 2022 Jun;48(3):2483-2491. doi: 10.1007/s00068-021-01809-7. Epub 2021 Nov 2.
2
[Growing prostheses after sarcoma resection in children and adolescents].[儿童和青少年肉瘤切除术后的生长型假体]
Orthopade. 2019 Jul;48(7):563-571. doi: 10.1007/s00132-019-03753-2.
3
What Are the Complications of Allograft Reconstructions for Sarcoma Resection in Children Younger Than 10 Years at Long-term Followup?
异体骨重建治疗 10 岁以下儿童肉瘤切除术后的长期随访并发症有哪些?
Clin Orthop Relat Res. 2018 Mar;476(3):548-555. doi: 10.1007/s11999.0000000000000055.
4
Reconstruction Following Tumor Resections in Skeletally Immature Patients.骨骼未成熟患者肿瘤切除术后的重建
J Am Acad Orthop Surg. 2017 Mar;25(3):204-213. doi: 10.5435/JAAOS-D-15-00619.
5
What is the morbidity of a non-invasive growing prosthesis?非侵入性生长型假体的发病率是多少?
Bone Joint J. 2016 Dec;98-B(12):1697-1703. doi: 10.1302/0301-620X.98B12.BJJ-2016-0467.
6
Epiphyseal Sparing and Reconstruction by Frozen Bone Autograft after Malignant Bone Tumor Resection in Children.儿童恶性骨肿瘤切除术后自体冻存骨移植保关节及关节重建
Sarcoma. 2015;2015:892141. doi: 10.1155/2015/892141. Epub 2015 Dec 21.
7
What Are the Long-term Results of MUTARS Modular Endoprostheses for Reconstruction of Tumor Resection of the Distal Femur and Proximal Tibia?用于股骨远端和胫骨近端肿瘤切除重建的MUTARS模块化假体的长期效果如何?
Clin Orthop Relat Res. 2017 Mar;475(3):708-718. doi: 10.1007/s11999-015-4644-8.
8
Resurfaced allograft-prosthetic composite for proximal tibial reconstruction in children: intermediate-term results of an original technique.异体-假体复合移植物重建儿童胫骨近端:原创技术的中期结果。
J Bone Joint Surg Am. 2015 Feb 4;97(3):241-50. doi: 10.2106/JBJS.N.00447.
9
Long-term results of intraoperative extracorporeal irradiation of autogenous bone grafts on primary bone and soft tissue malignancies.自体骨移植术中体外照射治疗原发性骨与软组织恶性肿瘤的长期疗效
Acta Oncol. 2015 Jan;54(1):138-41. doi: 10.3109/0284186X.2014.930172. Epub 2014 Jun 16.
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Frequent complications and severe bone loss associated with the repiphysis expandable distal femoral prosthesis.与骨骺可扩张型股骨远端假体相关的频繁并发症和严重骨质流失。
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