Salzer M, Knahr K
Recent Results Cancer Res. 1976(54):239-56. doi: 10.1007/978-3-642-80997-2_21.
Amputation is an unsatisfactory and depressing measure for the patient as well as for the surgeon. As long as operative removal of tumors in the extermities is indicated, the search for alternative solutions should be the most urgent task for every doctor involved in surgery. Resection would be the most equitable measure as far as demands for radicality and the best possible restoration of function are concerned. In order to warrant the radicality of the operation, meticulous preoperative planning and precise surgical techniques are essential. Sufficient restoration of function must take into consideration all the factors of the individual case, age and profession of the patient playing a large role. After partial resection of longer tubular bones, fitting of an endo-prosthesis has proved to be advantageous. Implants available at present have various drawbacks; studies directed at the elimination of these drawbacks must be set up.
截肢对于患者和外科医生来说都是一种令人不满意且沮丧的措施。只要有指征需对肢体肿瘤进行手术切除,对于每一位参与手术的医生而言,寻求替代解决方案就应是最紧迫的任务。就根治性要求和尽可能最佳的功能恢复而言,切除将是最合理的措施。为保证手术的根治性,细致的术前规划和精确的手术技术至关重要。功能的充分恢复必须考虑到个体病例的所有因素,患者的年龄和职业起着很大作用。在对较长管状骨进行部分切除后,事实证明安装内置假体是有利的。目前可用的植入物有各种缺点;必须开展旨在消除这些缺点的研究。