Gosheger Georg, Schulze Martin, Mathilda de Vaal Marieke, Theil Christoph, Schneider Kristian, Laufer Andrea
General Orthopedics and Tumor Orthopedics, University Hospital Muenster, Muenster, Germany.
J Bone Oncol. 2022 Jul 2;35:100444. doi: 10.1016/j.jbo.2022.100444. eCollection 2022 Aug.
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.
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。