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用于骨肿瘤手术的肱骨模块化假体:56例病例研究。

A humeral modular prostheses for bone tumour surgery: a study of 56 cases.

作者信息

Capanna R, Van Horn J R, Biagini R, Ruggieri P, Bettelli G, Sola G, Campanacci M

出版信息

Int Orthop. 1986;10(4):231-8. doi: 10.1007/BF00454402.

Abstract

Fifty six humeral prostheses were inserted from 1974 to 1984 for primary bone tumours of the shoulder. In 40 patients a proximal humeral resection was performed and in the remaining 16 cases a Tikhoff-Linberg procedure was employed. The length of humeral resection ranged from 9 cm to 24 cm. A detailed analysis of the oncological and functional results was made. The resection was well clear in 42 patients (75%), marginal in 12 (21.5%), and through tumour in 2 (3.5%). Eight local recurrences were noted. The functional results were satisfactory, the patients having a wide range of active rotation and being able to do sedentary work. A new modified humeral modular prosthesis was introduced in 1984 and is presented.

摘要

1974年至1984年间,为治疗肩部原发性骨肿瘤植入了56个肱骨假体。40例患者进行了肱骨近端切除术,其余16例采用蒂科夫-林伯格手术。肱骨切除长度为9厘米至24厘米。对肿瘤学和功能结果进行了详细分析。42例患者(75%)切除彻底,12例(21.5%)为边缘性切除,2例(3.5%)为经肿瘤切除。记录到8例局部复发。功能结果令人满意,患者有广泛的主动旋转范围,能够从事久坐工作。1984年引入并展示了一种新型改良肱骨模块化假体。

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