摘要
目的 :邻近关节骨肿瘤或肿瘤样病变切除后的修复。方法 :依据腓骨血供的特性 ,设计吻合血管腓骨多节段移植 ,修复胫骨上端、股骨下端及股骨近端骨缺损。结果 :临床应用 10例 ,经术后 3个月随访 ,移植骨愈合良好 ,关节功能恢复令人满意。结论 :采用该方法 ,修复邻近关节骨肿瘤切除后巨大腔性骨缺损 ,远优于吻合血管或单纯松质骨植入 ,从根本上避免或替代了异体半关节移植。
Objective:To probe operative methods of repairing bone defects near joints after removal of bone tumors or tumor like lesions. Methods: According to the characterisitic of fibular blood supply, segmental fibular grafts with vascular anastomosis were devised to repair bone defects in the proximal end of tibias and the distal or proximal end of femurs. Results: After a follow up of 3 months, bone grafts healed well in all 10 patients. Articular function was satisfactory. Conclusion: Above mentioned method has great advantages over that of cancellous bone grafting with vascular anastomosis or not in repairing giant cavitary bone defects near joints after removal of bone tumors, and semi joint allografts will be substituted completely.
出处
《中国矫形外科杂志》
CAS
CSCD
2001年第9期860-861,T002,共3页
Orthopedic Journal of China