Liu Qiang, Zheng Jianping, Ma Long, Chu Dawei, Yang Zongqiang, Niu Ningkui, Shi Jiandang
First Clinical Medical College, Ningxia Medical University, Yinchuan, Ningxia, China.
Department of Orthopedic, General Hospital of Ningxia Medical University, Yinchuan, Ningxia, China.
BMC Surg. 2025 Mar 14;25(1):99. doi: 10.1186/s12893-025-02823-x.
To evaluate the clinical efficacy of repairing bone defects caused by benign bone tumors using allograft bone combined with calcium phosphate bone powder.
A retrospective analysis was conducted on 55 patients (aged 10-61 years, mean 35 ± 13.2) with benign bone tumors treated at our hospital from June 2020 to December 2022. The bone defects in these cases were created after surgical curettage of the tumor lesions, which included common benign tumors such as osteochondroma, giant cell tumor of bone, and enchondroma. Patients were divided into two groups based on bone graft materials: a simple allograft bone group (n = 30) and a combined group using allograft bone with calcium phosphate bone powder (n = 25). Preoperative data, surgical time, intraoperative blood loss, postoperative complications, imaging findings, limb function, and quality of life (KPS scores) were analyzed.
All 55 patients were followed for 12-30 months (mean 13.45 ± 5.18). All incisions healed by primary intention without complications such as graft nonunion, fractures, or tumor recurrence. The combined group showed a significantly shorter healing time (t = 4.280, P < 0.05) and higher KPS scores at 6 months postoperatively (X = 3.646, P < 0.05) compared to the simple group. However, no significant differences were observed between groups in healing rate, residual bone defects, or limb function at 12 months postoperatively (P > 0.05).
Allograft bone combined with calcium phosphate bone powder is superior to allograft bone alone for repairing bone defects following curettage of benign bone tumors, promoting faster healing and better postoperative functional recovery.
评估同种异体骨联合磷酸钙骨粉修复良性骨肿瘤所致骨缺损的临床疗效。
对2020年6月至2022年12月在我院接受治疗的55例(年龄10 - 61岁,平均35±13.2岁)良性骨肿瘤患者进行回顾性分析。这些病例的骨缺损是在肿瘤病灶手术刮除后形成的,包括骨软骨瘤、骨巨细胞瘤、内生软骨瘤等常见良性肿瘤。根据植骨材料将患者分为两组:单纯同种异体骨组(n = 30)和同种异体骨联合磷酸钙骨粉组(n = 25)。分析术前数据、手术时间、术中出血量、术后并发症、影像学表现、肢体功能和生活质量(KPS评分)。
55例患者均随访12 - 30个月(平均13.45±5.18)。所有切口均一期愈合,未出现移植骨不愈合、骨折或肿瘤复发等并发症。与单纯组相比,联合组术后愈合时间显著缩短(t = 4.280,P < 0.05),术后6个月KPS评分更高(X = 3.646,P < 0.05)。然而,术后12个月时,两组在愈合率、残余骨缺损或肢体功能方面无显著差异(P > 0.05)。
同种异体骨联合磷酸钙骨粉在修复良性骨肿瘤刮除术后的骨缺损方面优于单纯同种异体骨,能促进更快愈合和更好的术后功能恢复。