Lindell E B, Carroll N C
Division of Orthopaedic Surgery, Children's Memorial Hospital, Chicago, Illinois 60614.
Iowa Orthop J. 1993;13:124-35.
Limb salvage tumor surgery in children is quite popular. Low local recurrence rates and patient survival statistics prove it is a viable option for many patients. We review the major changes in medicine and paramedical fields that have allowed limb salvage to develop. We then discuss patient selection, limb salvage goals, review the surgical staging system, and examine common errors in evaluating a tumor patient. A discussion (with case examples) of various surgical options and a brief look at some current trends is then presented.
儿童肢体挽救性肿瘤手术相当普遍。低局部复发率和患者生存统计数据证明,这对许多患者来说是一个可行的选择。我们回顾了医学及相关医学领域中促使肢体挽救技术得以发展的主要变化。接着,我们讨论患者选择、肢体挽救目标,回顾手术分期系统,并审视评估肿瘤患者时的常见错误。随后给出各种手术选择的讨论(附病例示例),并简要介绍一些当前的趋势。