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精准定制：骨盆骨肉瘤治疗的一个独特案例

Tailored Precision: A Unique Case of Pelvic Osteosarcoma Management.

作者信息

Sauhta Ravi, Makkar Dheeraj

机构信息

Department of Orthopaedics, Artemis Hospital and NC Medical College, NC Medical College, Panipat, Haryana, India.

Department of Orthopaedics, NC Medical College, NC Medical College, Panipat, Haryana, India.

出版信息

J Orthop Case Rep. 2023 Aug;13(8):47-51. doi: 10.13107/jocr.2023.v13.i08.3812.

DOI:10.13107/jocr.2023.v13.i08.3812
PMID:37654757
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10465738/
Abstract

INTRODUCTION

Osteosarcoma of the pelvis poses challenges in surgical resection due to its anatomical location and extensive nature. This case report focuses on the clinical presentation and therapeutic outcomes of a 20-year-old patient with osteosarcoma of the right iliac bone. The study highlights the efficacy of 3D printing technology in creating customized implants for improved surgical outcomes.

CASE REPORT

The case report presents the clinical presentation, management, and outcomes of a patient with osteosarcoma of the right iliac bone. It emphasizes the impact of surgical resection extent and endoprosthetic reconstruction. The study highlights the advantages of 3D printing technology in creating customized implants that accurately fit the remaining bone. Limb-sparing surgery is advocated for better functional and psychological outcomes compared to amputation. The report also emphasizes the need for further research on alternative composite materials and discusses the limitations of 3D printing technology in orthopedics.The limitations of 3D printing, such as mechanical safety and material restrictions, are discussed, calling for future advancements to improve the reliability and effectiveness of 3D-printed implants in orthopedics.

CONCLUSION

The present case report provides valuable perspectives into the efficacious management of pelvic osteosarcoma and underscores the distinctive advantages of 3D printing technology in improving surgical results. Limb-sparing surgery demonstrates enhanced functional and psychological outcomes compared to amputation. Utilizing 3D custom-made implants, significantly reduces the likelihood of revision surgeries attributed to implant failure, improves the surgical outcome and precision.

摘要

引言

骨盆骨肉瘤因其解剖位置和广泛的性质，在手术切除方面具有挑战性。本病例报告重点关注一名20岁右髂骨骨肉瘤患者的临床表现和治疗结果。该研究强调了3D打印技术在制造定制植入物以改善手术结果方面的功效。

病例报告

该病例报告展示了一名右髂骨骨肉瘤患者的临床表现、治疗及结果。它强调了手术切除范围和假体置换重建的影响。该研究突出了3D打印技术在制造精确适配剩余骨骼的定制植入物方面的优势。与截肢相比，保肢手术因具有更好的功能和心理预后而被提倡。报告还强调了对替代复合材料进行进一步研究的必要性，并讨论了3D打印技术在骨科领域的局限性。文中讨论了3D打印的局限性，如机械安全性和材料限制，呼吁未来取得进展以提高3D打印植入物在骨科中的可靠性和有效性。

结论

本病例报告为骨盆骨肉瘤的有效管理提供了有价值的观点，并强调了3D打印技术在改善手术结果方面的独特优势。与截肢相比，保肢手术显示出更好的功能和心理预后。使用3D定制植入物可显著降低因植入物失败而进行翻修手术的可能性，提高手术结果和精度。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d09/10465738/732b9943252b/JOCR-13-47-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d09/10465738/345fc70e59e0/JOCR-13-47-g001.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d09/10465738/f00a50ba8a0b/JOCR-13-47-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d09/10465738/58f7a366457a/JOCR-13-47-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d09/10465738/732b9943252b/JOCR-13-47-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d09/10465738/345fc70e59e0/JOCR-13-47-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d09/10465738/03d101e6f597/JOCR-13-47-g002.jpg
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