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用皮肤用多西环林硬化疗法治疗的复发性动脉瘤骨囊:一个病例报告

Cory Gall^1,2, Daniel C Allison^2,3

¹Community Memorial Health System, Department of Orthopedic Surgery, Ventura, California.

JBJS case connector

|December 5, 2024

概括

靠近大腿骨的侵袭性动脉瘤骨囊 (ABC) 在手术后可能会复发. 穿皮的多克西环林硬化疗法为复发性ABC提供了有效的,低风险的治疗方法.

科学领域:

整形外科手术整形外科手术
儿科瘤学儿科瘤学
干预性放射学是干预性的放射学.

背景情况:

动脉瘤骨囊 (ABCs) 是一种良性,扩展性骨病变,可以引起显著的发病率.
侵袭性ABC,特别是在靠近大腿骨,由于其位置和复发潜力,造成治疗挑战.
患有ABC的儿科患者的病理骨折需要复杂的手术干预.

研究的目的:

评估皮肤通用多克西环林硬化疗法治疗儿科患者复发性动脉瘤骨囊的疗效.
介绍一个案例研究,成功管理了具有病理性骨折的侵袭性近腰大腿骨ABC.

主要方法:

患者接受了开放式缩减和内置固定,并进行切和骨移植,以治疗由于侵略性ABC引起的近端大腿骨病理性骨折.
在早期的侵略性复发后,患者接受了皮肤间的多克西环林硬化疗法.

主要成果:

病理性骨折的初始手术治疗之后,ABC的侵略性复发.
通过皮肤进行的多西环林硬化疗法成功治疗了复发性动脉瘤骨囊.

结论:

穿皮的多西环林硬化疗法是复发性ABC的可行和有效的治疗选择.
这种微创方法提供了一个相对低风险的替代方案,用于管理儿科患者具有挑战性的ABC复发.

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