胫骨近端骨肉瘤保肢术中膝关节的保留。病例报告。
Preservation of the knee joint in limb salvage of osteosarcoma in the proximal tibia. A case report.
作者信息
Amitani A, Yamazaki T, Sonoda J, Tanaka M, Hirata H, Katoh K, Uchida A
机构信息
Department of Orthopaedic Surgery, Mie University Faculty of Medicine, Tsu City, Japan.
出版信息
Int Orthop. 1998;22(5):330-4. doi: 10.1007/s002640050272.
A 12-year-old boy with osteosarcoma in the proximal tibia underwent a successful limb-saving operation with preservation of the epiphyseal and articular cartilage of the proximal tibia as a result of his remarkable response to chemotherapy. There was no evidence of tumour invasion to the adjacent physis, as demonstrated by image findings. The bone defect was reconstructed using autoclaved autogeneous bone with a vascularized fibula. The patient exhibits excellent function of the affected limb, and the knee joint remains disease-free 55 months postoperatively.
一名12岁的胫骨近端骨肉瘤男孩，由于对化疗反应显著，成功接受了保肢手术，保留了胫骨近端的骨骺和关节软骨。影像学检查结果显示，没有肿瘤侵犯相邻骨骺的证据。使用经高压灭菌的自体骨和带血管腓骨重建骨缺损。患者患侧肢体功能良好，术后55个月膝关节仍无疾病。
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