在骨不成熟的患者中可扩展内脏假体:我们现在的位置
1Tumororthopädie und Sarkomchirurgie, Universitätsklinikum Essen, Essen 45143, Germany. ozturk_recep@windowslive.com.
World journal of orthopedics
|April 29, 2024
概括
可扩展假肢为患有恶性骨瘤的儿童的四肢不平等提供了一个临时的解决方案,保护四肢直到成年. 然而,高的并发症率需要专门的护理.
科学领域:
- 儿科瘤学 儿科瘤学
- 整形外科手术 整形外科手术
- 生物医学工程 生物医学工程
背景情况:
- 恶性骨瘤不成比例地影响到16岁以下的儿童,由于生长板损伤,经常导致四肢不平等.
- 从历史上看,四肢挽救的选择仅限于旋转整形或截肢.
- 多模式治疗 (成像,化疗,手术) 的进步使得肢体保存策略成为可能.
研究的目的:
- 评估可扩展假肢在骨不成熟的骨肉瘤患者的肢体不平等管理中的作用和有效性.
- 将可扩展假肢与其他肢体救援技术进行比较.
主要方法:
- 审查历史的治疗选择和自20世纪80年代以来可扩展假肢的发展.
- 分析与可扩展内脏假体置换相关的结果和并发症率.
- 最少侵入性可扩展假肢与非侵入性替代品的比较.
主要成果:
- 可扩展内脏假体已经发展成为一种安全和成熟的肢体保护替代品.
- 虽然非侵入性假肢似乎有利,可扩展的选择是一个可行的临时解决方案.
- 高的并发症率与可扩展假肢有关,这强调了对经验丰富的外科手术团队的需求.
结论:
- 可扩展假肢是一种合适的,虽然不是最终的,骨未成熟儿童的骨肉瘤治疗方法,弥合了成年期的差距.
- 由于严重的并发症风险,这些手术应该只在具有广泛专业知识的专门癌症中心进行.
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