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恶性肿瘤切除术后半骨盆重建。假体的并发症及功能结果。

Reconstruction of the hemipelvis after the excision of malignant tumours. Complications and functional outcome of prostheses.

作者信息

Abudu A, Grimer R J, Cannon S R, Carter S R, Sneath R S

机构信息

Royal Orthopaedic Hospital Oncology Service, Birmingham, England, UK.

出版信息

J Bone Joint Surg Br. 1997 Sep;79(5):773-9. doi: 10.1302/0301-620x.79b5.6749.

DOI:10.1302/0301-620x.79b5.6749
PMID:9331034
Abstract

We treated 35 patients with primary malignant tumours of the periacetabular area by resection and prosthetic reconstruction of the defect. At a mean follow-up of 84 months, 15 patients (43%) were free from disease. The most common complications were deep infection (26%), local recurrence (24%) and recurrent dislocation of the hip (17%). The surviving patients achieved an average of 70% of their premorbid function. This method of reconstruction has a high morbidity and should be performed only at specialist centres, but the functional and oncological outcomes are satisfactory.

摘要

我们对35例髋臼周围原发性恶性肿瘤患者进行了切除及缺损的假体重建治疗。平均随访84个月时,15例患者(43%)无疾病复发。最常见的并发症为深部感染(26%)、局部复发(24%)和髋关节复发性脱位(17%)。存活患者的功能平均达到病前水平的70%。这种重建方法并发症发生率高,应仅在专科中心进行,但功能和肿瘤学结果令人满意。

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