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[采用固定血管神经蒂复合移植物自体移植治疗股骨近端肿瘤的原则]

[The principles of autoplasty using a compound graft on a fixed vascular-neural pedicle in treating tumors of the proximal femur].

作者信息

Sikilinda V D, Ovsiannikov A V, Mashtalov V D, Dyba Zh Sh

出版信息

Vestn Khir Im I I Grek. 1994 Jan-Feb;152(1-2):90-3.

PMID:7701762
Abstract

The authors give clinico-anatomical grounds of saving operations for benign and malignant tumors of the proximal part of the thigh bone with vascularized grafts on a fixed vessel-nerve pedicle. In order to make up defects of the bone the authors propose transplants from the upper flaring portion of the ilium on a "pedicle" consisting of the superior gluteal artery, veins and nerve, and a method of creation of a fascial-muscular capsule of the joint with the removal of the tumor together with the capsule and part of the muscles and the following individual prosthesis.

摘要

作者阐述了采用带固定血管神经蒂的血管化移植物对股骨近端良恶性肿瘤进行挽救性手术的临床解剖学依据。为弥补骨缺损,作者建议从髂骨上扩大部分获取移植物,其“蒂”由臀上动静脉和神经组成,还提出了一种创建关节筋膜肌肉囊的方法,即连同囊、部分肌肉一起切除肿瘤,随后植入个体化假体。

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