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采用非骨水泥型3D打印假体进行闰位重建并成功保留关节,用于桡骨远端肿瘤切除术后:1例病例报告

Intercalary reconstruction with successful joint preservation by uncemented 3D‑printed endoprosthesis following tumor resection in distal radius: A case report.

作者信息

Wang Shang, Luo Yi, Gong Taojun, Wang Yitian, Zheng Chuanxi, Min Li, Tu Chongqi, Zhou Yong

机构信息

Department of Orthopedics, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P.R. China.

出版信息

Exp Ther Med. 2022 Oct 17;24(6):719. doi: 10.3892/etm.2022.11655. eCollection 2022 Dec.

Abstract

The distal radius is an extremely rare site for epithelioid hemangioendothelioma. Joint preservation to maintain a good wrist joint function is rarely reported. The present study described a case of joint preservation surgery in the distal radius with an uncemented 3D-printed endoprosthesis and evaluated the endoprosthesis design and short-term outcomes. A 14-year-old boy was diagnosed with epithelioid hemangioendothelioma in radius. Due to the extensive defect and the excessively short length of the residual distal radius after resection, a custom-made 3D-printed custom-made endoprosthesis was designed and fabricated to reconstruct the defect, with the preservation of the wrist joint. The patient had a favorable wrist function and no endoprosthesis-related complications were observed. The present study presented a case of en bloc tumor resection with joint preservation of the wrist and reconstruction using a 3D-printed endoprosthesis. Satisfactory postoperative function and low complication rates were found.

摘要

桡骨远端是上皮样血管内皮瘤极为罕见的发病部位。关于保留关节以维持良好腕关节功能的报道很少。本研究描述了1例采用非骨水泥型3D打印假体进行桡骨远端关节保留手术的病例,并对假体设计和短期疗效进行了评估。一名14岁男孩被诊断为桡骨上皮样血管内皮瘤。由于切除术后存在广泛的骨缺损以及残余桡骨远端长度过短,设计并制作了定制的3D打印假体来重建骨缺损,同时保留腕关节。患者腕关节功能良好,未观察到与假体相关的并发症。本研究展示了1例整块肿瘤切除并保留腕关节、使用3D打印假体进行重建的病例。术后功能满意,并发症发生率低。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/70a0/9627117/d90c084dbda7/etm-24-06-11655-g00.jpg

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