Springfield D S, Capanna R, Gherlinzoni F, Picci P, Campanacci M
J Bone Joint Surg Am. 1985 Jun;67(5):748-55.
We reviewed the cases of seventy patients with chondroblastoma who were treated at the Istituto Ortopedico Rizzoli between 1949 and 1983 and found that the proximal end of the humerus was the most common location (eighteen), with the proximal end of the femur (fifteen), distal end of the femur (fifteen), and proximal end of the tibia (twelve) being the other frequently involved sites. Sixty-three of the patients were between eleven and thirty years old. Fifty-eight patients sought medical attention because of an aching pain, usually referred to the adjacent joint. Fifty patients were followed for two years or longer after treatment. Seven patients had a local recurrence: four were successfully treated with a repeat curettage and one, by two subsequent marginal excisions; one was advised to have a repeat curettage; and the seventh was advised to have a resection and arthrodesis of the knee. The final functional results were considered to be excellent in forty-seven of the fifty patients who were followed for two years or more.
我们回顾了1949年至1983年间在里佐利骨科研究所接受治疗的70例软骨母细胞瘤患者的病例,发现肱骨近端是最常见的发病部位(18例),其次是股骨近端(15例)、股骨远端(15例)和胫骨近端(12例)。63例患者年龄在11岁至30岁之间。58例患者因疼痛就诊,疼痛通常放射至相邻关节。50例患者在治疗后随访了两年或更长时间。7例患者出现局部复发:4例通过再次刮除术成功治疗,1例通过两次连续的边缘切除术治疗;1例建议再次刮除;第7例建议进行膝关节切除和关节融合术。在随访两年或更长时间的50例患者中,47例的最终功能结果被认为是优秀的。