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采用结构性同种异体骨进行距骨肿瘤重建手术:病例报告。

Oncologic reconstructive surgery of the talus with structural allograft: Case report.

作者信息

Gómez Luis Carlos, Soto Camilo, Arroyave Sergio, Ramírez Andrés Felipe, Coronado David Alejandro

机构信息

Orthopedic oncologist, National Cancer Institute, Bogotá, Colombia.

Orthopedist and traumatologist, Felow oncological orthopedics, National Institute of Cancerology, Bogotá, Colombia.

出版信息

Int J Surg Case Rep. 2025 Jan;126:110706. doi: 10.1016/j.ijscr.2024.110706. Epub 2024 Dec 1.

Abstract

INTRODUCTION AND IMPORTANCE

Introduction and importance: Bone tumors of the foot constitute 3 % of all bone tumors, within these, the location in the talus constitutes between 8 and 23 % of bone tumors. Within the oncological management of these lesions, preservation surgery has had a great boom in the last 10 years, however, the use of massive structural allograft is not a conventional surgery and there is little literature on its use, which is why we consider important to document clinical cases.

CASE PRESENTATION

we document 2 clinical cases of bone tumor in the talus that were surgically managed with tumor resection plus reconstruction with total and partial talus allograft.

CLINICAL DISCUSSION

Bone tumors involving the talus are rare and management techniques have emphasized intralesional resection plus bone graft application. In the literature consulted, no report of reconstructive surgery was found with the use of total and partial structural talus allograft.

CONCLUSIONS

The use of structural talar allografts, both partial and total, has shown good functional results in short-term follow-up (18 months), so we consider it important to continue long-term follow-up to evaluate the evolution of this surgical technique.

摘要

引言与重要性

足部骨肿瘤占所有骨肿瘤的3%,其中距骨部位的骨肿瘤占骨肿瘤的8%至23%。在这些病变的肿瘤治疗中,保肢手术在过去10年中得到了极大的发展,然而,使用大块结构性同种异体骨移植并非传统手术,且关于其应用的文献较少,这就是我们认为记录临床病例很重要的原因。

病例报告

我们记录了2例距骨骨肿瘤的临床病例,均通过肿瘤切除加全距骨和部分距骨同种异体骨移植重建进行手术治疗。

临床讨论

累及距骨的骨肿瘤较为罕见,治疗技术主要强调病灶内切除加植骨。在所查阅的文献中,未发现使用全距骨和部分结构性距骨同种异体骨进行重建手术的报告。

结论

使用部分和全距骨结构性同种异体骨移植在短期随访(18个月)中显示出良好的功能结果,因此我们认为继续进行长期随访以评估该手术技术的进展很重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe35/11743909/11995e19ac34/gr1.jpg

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