CAJ | 학술논문

目的探讨邻近关节良性骨肿瘤所致骨缺损的修复方法 .方法对11例邻近关节之良性骨肿瘤所致骨缺损进行手术处理,其中4例行肿瘤刮除、瘤壁烧灼加植骨术,3例行带血管节段性腓骨移植充填支撑加植骨术,2例行带血管腓骨小头移植重建盂肱及桡腕关节术,2例行人工肿瘤型假体置换术.结果经1.5～6年随访,所有病例骨愈合均满意,肿瘤无复发,其中2例关节功能轻度障碍.结论处理邻近关节的良性骨肿瘤所致骨缺损的修复,应充分考虑腓骨作为移植材料的重要性和修复能力.行人工肿瘤型假体置换应严格掌握适应证.
목적 탐토린근관절량성골종류소치골결손적수복방법 .방법 대11례린근관절지량성골종류소치골결손진행수술처리,기중4례행종류괄제、류벽소작가식골술,3례행대혈관절단성비골이식충전지탱가식골술,2례행대혈관비골소두이식중건우굉급뇨완관절술,2례행인공종류형가체치환술.결과 경1.5～6년수방,소유병례골유합균만의,종류무복발,기중2례관절공능경도장애.결론 처리린근관절적량성골종류소치골결손적수복,응충분고필비골작위이식재료적중요성화수복능력.행인공종류형가체치환응엄격장악괄응증.
Objective To explore the reconstructive methods of benign bone tumor defects in proximal joint. Methods Operative treatment was performed in 11 cases with benign bone tumor defects in proximal joint, a-mong whom 4 cases were treated by curettage,cauterization of wall and bone grafting,3 cases were treated by filling branch through segment fibula transplantation with vascular,2 cases were treated by fibula head transplantation with vascular to reconstruct the glenohumeral joint and rediocarpal joint, and 2 cases were treated by artificial joint re-placement. Results The follow-up ranged from 1.5 to 6 years. All of cases got excellent bone unioned without re-lapse and 2 cases of them developed with little limitation in joint function. Conclusion The importance and recon-structive achievement of fibula transplantation in treating the benign bone tumor defects in proximal joint should be thought fully. The indication of artificial tumor prosthesis replacement should be strictly mastered.