| 人工假体在膝关节周围骨肿瘤保肢治疗中的应用 |
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Received:July 21, 2003
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| 作者 | Author | 单位 | Unit | E-Mail |
| 叶澄宇 |
YE Cheng yu |
温州医学院附属第一医院骨科,浙江温州325000 |
Department of Orthopaedics Surgery,the First Affiliated Hospital of Wenzhou Medical College(Zhejing Wenzhou,325000,China) |
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| 杨胜武 |
YANG Sheng wu |
温州医学院附属第一医院骨科,浙江温州325000 |
Department of Orthopaedics Surgery,the First Affiliated Hospital of Wenzhou Medical College(Zhejing Wenzhou,325000,China) |
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| 滕红林 |
TENG Hong lin |
温州医学院附属第一医院骨科,浙江温州325000 |
Department of Orthopaedics Surgery,the First Affiliated Hospital of Wenzhou Medical College(Zhejing Wenzhou,325000,China) |
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| 陈雷 |
CHEN Lei |
温州医学院附属第一医院骨科,浙江温州325000 |
Department of Orthopaedics Surgery,the First Affiliated Hospital of Wenzhou Medical College(Zhejing Wenzhou,325000,China) |
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| 林垂聪 |
LIN Chui cong |
温州医学院附属第一医院骨科,浙江温州325000 |
Department of Orthopaedics Surgery,the First Affiliated Hospital of Wenzhou Medical College(Zhejing Wenzhou,325000,China) |
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| 金广健 |
JIN Guang-jian |
温州医学院附属第一医院骨科,浙江温州325000 |
Department of Orthopaedics Surgery,the First Affiliated Hospital of Wenzhou Medical College(Zhejing Wenzhou,325000,China) |
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| 期刊信息：《中国骨伤》2004年17卷，第3期，第151-153页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的:探讨对膝关节周围骨肿瘤切除后,采用人工全膝关节置换达到保肢的疗效。
方法:1996-2000年共收治骨肿瘤患者11例,年龄18～55岁,其中恶性骨巨细胞瘤6例,骨肉瘤2例,软骨肉瘤2例,纤维肉瘤1例。股骨下端病变7例,胫骨上端病变4例。肢体功能重建方法为特制的人工全膝关节置换术。
结果:本组11例经3～6年随访,8例无瘤存活,3例带瘤存活。术后肢体功能按Enneking评分系统评分,平均为21.5分,总优良率72.7%,其中股骨远端肿瘤术后平均为22.3分,胫骨近端肿瘤术后平均为20.0分。
结论:采用特制的人工全膝关节置换术,能有效治疗膝关节周围低度恶性或恶性骨肿瘤,达到良好保肢效果。 |
| [关键词]:关节成形术,置换,膝 骨肿瘤 外科手术 |
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| Application of prosthesis replacement in limb salvage treatment of tumors at the knee |
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Abstract:
Objective:To investigate the clinical outcome of application of prosthetic knee replacement in limb salvage treatment of primary malignant tumor at the distal part of the femur and proximal part of the tibia.
Methods:Data of 11 consecutive patients with tumors of the knee treated with prosthetic knee replacement from 1996 to 2000.were reviewed.The average age of these 11 patients was 33.8 years(range 18 to 55 years).There were 7 distal femoral and 4 proximal tibial replacements.The diagnoses of 11 patients were giant cell tumor in 6 cases,osteosarcoma in 2,chondrosarcoma in 2 and fibrosarcoma in 1.The reconstruction of limb function was total knee replacement with individualized prosthesis.
Results:The duration of follow up ranged from 3 to 6 years.At the time of the last follow up,8 patients were disease free,3 were alive with metastatic disease.None of them developed local recurrences.According to Enneking score system,the mean functional score was 21.5 points and the excellent and good rate was 72.7%.
Conclusion:Application of prosthetic knee replacement in limb salvage treatment of tumor at the knee is effective,especially for those with massive bone destruction. |
| KEYWORDS:Arthroplasty,replacement,knee Bone neoplasms Surgical procedures,operative |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 叶澄宇,杨胜武,滕红林,陈雷,林垂聪,金广健.人工假体在膝关节周围骨肿瘤保肢治疗中的应用[J].中国骨伤,2004,17(3):151~153 |
| 英文格式: | YE Cheng yu,YANG Sheng wu,TENG Hong lin,CHEN Lei,LIN Chui cong,JIN Guang-jian.Application of prosthesis replacement in limb salvage treatment of tumors at the knee[J].zhongguo gu shang / China J Orthop Trauma ,2004,17(3):151~153 |
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