在近端椎切除后的重建
Ashwin Prajapati1, Rudra P S Thakur2, Ashish Gulia3
1Department of Surgical Oncology, Marengo CIMS Cancer Centre, Ahmedabad, India.
The bone & joint journal
|October 31, 2024
概括
辐射部到部三叶的转移是近接部瘤切除的经济有效的选择,提供了良好的短期肘部功能. 这种生物重建显示了长期稳定性和耐用性的承诺.
科学领域:
- 整形外科手术 整形外科手术
- 肌肉骨瘤学 肌肉骨瘤学
- 重建性手术是一种重建性手术.
背景情况:
- 对瘤进行近端骨关节切除后的重建存在重大技术挑战.
- 对于这种复杂的手术,关于可用的重建选项的文献有限.
研究的目的:
- 为了评估辐射部到部三管转移关节塑造术的疗效和结果.
- 评估近接切除和重建后的功能结果.
主要方法:
- 一系列的四名患者接受了放射性部到部三叶片转移关节整形手术.
- 使用肘部运动范围,前臂旋转,肘部稳定性,肌肉骨瘤学会 (MSTS) 评分和手臂,肩膀和手的快速残疾 (QuickDASH-9) 问卷来评估功能结果.
主要成果:
- 在33个月的平均随访后,所有患者都没有疾病,平均肘部曲弧度为0°至105°.
- 在所有患者中都实现了完全的置,但无法进行置.
- 并发症包括部神经神经过敏,螺丝暴露和伤口脱光,大多数都得到了成功的解决或管理.
结论:
- 辐射部到部三叶的转移是一种令人满意且具有成本效益的生物重建方法,用于近接切除.
- 这种技术提供了良好的短期肘部功能,并预计将提供长期的稳定性和耐用性,由于其生物性质.
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