Blauth W, Schuchardt E
Z Orthop Ihre Grenzgeb. 1976 Dec;114(6):931-5.
First of all the authors limit the indications to resection arthrodesis in bone tumors located near the knee joint and present the main features of the procedure. These consist of the technical requirements for a radical operation, the type of osteosynthesis with special supports and the type of compensation for the defect. Based on the well known surgical techniques of Juvara, Merle d'Aubigné and J.Böhler, a precedure was presented which has been clinically tested for 6 years. In this procedure which is based on individual locations of tumors, a homologous bone canal helps to compensate the resection defect. The biological characteristic of the healing of this interponate was described. Finally, recommendations for postoperative aftercare were presented whereby the long support in orthopedic apparatus and the renewed spongiosa accumulation as a result of the removal of the metal were mentioned.
首先，作者将手术指征限定为膝关节附近骨肿瘤的切除关节融合术，并介绍了该手术的主要特点。这些特点包括根治性手术的技术要求、特殊支撑的骨固定类型以及缺损的补偿类型。基于久瓦拉、梅勒·德·奥布涅和J. 伯勒尔等知名的外科技术，提出了一种已进行6年临床测试的手术方法。在这种基于肿瘤个体位置的手术中，同种异体骨管有助于补偿切除缺损。描述了这种植入物愈合的生物学特性。最后，给出了术后护理建议，其中提到了在矫形器械中长期支撑以及由于取出金属而重新形成海绵状骨质堆积的情况。
