3D 打印肩胛盂假体重建术治疗恶性肿瘤行肩胛颈部分切除术：病例系列研究。
3D-printed glenoid implant reconstruction, after partial scapulectomy for malignant tumors: a case series.
机构信息
First Department of Orthopedic Surgery and Traumatology, National and Kapodistrian University of Athens, School of Medicine, "ATTIKON" University General Hospital, Rimini 1, Chaidari, 12462, Athens, Greece.
Second Department of Orthopedics, National and Kapodistrian University of Athens, 'Agia Olga' Hospital, Th. Konstantopoulou 3-5, Nea Ionia, 14233, Athens, Greece.
出版信息
Eur J Orthop Surg Traumatol. 2024 Apr;34(3):1557-1562. doi: 10.1007/s00590-024-03839-4. Epub 2024 Jan 27.
PURPOSE
Glenoid tumors are extremely rare, and reconstruction remains very challenging. The aim of this study is to present the clinical and functional outcomes, of a new glenoid reconstruction method using 3-dimensional-printed implant.
METHODS
Four patients with primary glenoid tumors underwent reconstruction using 3-dimensional-printed glenoid implant linked with reverse shoulder arthroplasty. We retrospectively reviewed the clinical and functional outcome, using MSTS and DASH score, as well as complications' rate.
RESULTS
Wide excision was achieved in all patients. No local recurrence or distant metastasis was diagnosed at the follow-up period. The mean MSTS score was 80.5%, and DASH score was 15.2%. According to Hendersons' classification, there were no postoperative complications.
CONCLUSION
The use of 3-dimensional-printed implants, can be a very reliable solution with satisfying clinical and functional outcomes for reconstruction, in patients with musculoskeletal malignancies of the glenoid. Level of evidence IV Treatment Study.
目的
肩盂肿瘤极为罕见，重建仍然极具挑战性。本研究旨在介绍使用 3D 打印植入物进行新的肩盂重建方法的临床和功能结果。
方法
4 名原发性肩盂肿瘤患者采用 3D 打印肩盂植入物与反式肩关节置换术相结合进行重建。我们回顾性分析了 MSTS 和 DASH 评分以及并发症发生率等临床和功能结果。
结果
所有患者均实现了广泛切除。在随访期间，未诊断出局部复发或远处转移。平均 MSTS 评分为 80.5%，DASH 评分为 15.2%。根据 Henderson 分类，术后无并发症。
结论
对于肩盂骨肉瘤患者，使用 3D 打印植入物进行重建是一种非常可靠的方法，可获得满意的临床和功能结果。证据等级 IV 治疗研究。
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