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物理节约性旋转整形作为在儿科骨髓瘤中异位移植失败后的救援手术

Devika A Shenoy¹, Katelyn Parsons², Aaron D Therien²

¹Department of Orthopaedic Surgery, Duke University School of Medicine, Durham, North Carolina, USA das140@duke.edu.

BMJ case reports

|December 3, 2025

概括

这项研究为儿科骨髓瘤患者提供了一种修改后的旋转整形技术,保留了骨生长潜力. 这种肢体挽救手术避免了牺牲近端肢体,从而使肢体在重建后继续生长.

科学领域:

整形外科手术整形外科手术
儿科瘤学儿科瘤学
肢体救援程序肢体救援程序

背景情况:

旋转整形术是一种用于下肢恶性瘤的肢体救援技术,涉及将脚和脚旋转180°以作为膝关节的功能.
经典的技术往往涉及切除远距离股骨和靠近的骨部分,可能牺牲靠近的骨体质.

研究的目的:

描述一项经过修改的旋转整形技术,用于患有骨髓瘤的儿科患者,该患者在失败的远端股骨重建后.
评估在旋转整形术期间保存近端骨细胞的可行性,以允许肢体的持续生长.

主要方法:

在患有骨髓瘤的儿科患者身上进行了修改的旋转整形手术.
遗漏了骨切除术,并使用了一个动态锁定位置的内指甲.
靠近骨的体位被保存,以保持生长潜力.

主要成果:

经过修改的旋转整形成功地挽救了四肢,同时保留了近端骨体.
该技术允许手术肢体继续逐渐生长.
这种方法减少了对投机性手术前增长计算和对不对齐的潜在修订的需求.

结论:

旋转整形手术可以在不牺牲近端骨体的情况下进行,为儿科骨髓瘤提供了可行的肢体救援选择.
在旋转整形术中保持体内生长潜力,为年轻患者提供了功能和瘤方面的好处.
这种修改允许疾病控制和自然肢体生长,改善长期结果.

关键词:

整形医生整形医生整形医生儿科瘤学儿科瘤学

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