| 扩大刮除骨水泥填充联合内固定治疗临膝关节Campanacci Ⅲ级骨巨细胞瘤的疗效观察 |
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投稿时间：2018-07-14 修订日期：2018-09-11
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| 期刊信息：《中国骨伤》年，第卷，第期，第-页 |
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| 中文摘要:目的 S探讨扩大刮除骨水泥填充联合内固定治疗临膝关节Campanacci Ⅲ级骨巨细胞瘤的疗效。 方法 自2006年1月至2016年12月,采用扩大刮除骨水泥填充联合内固定治疗术治疗的21例临膝关节Campanacci Ⅲ级骨巨细胞瘤患者,其中男11例,女10例；年龄21～61岁,平均35岁。病程1.5个月～2年,平均8个月。其中股骨远端8例,胫骨近端瘤13例；均为原发性肿瘤。结果 术后患者伤口均为甲级愈合,无伤口感染及内固定失效等并发症发生。全部病例获得随访,随访时间8-120个月,平均46个月,MSTS 评分为(26.71±2.35)分,高于术前的(15.24±1.14)分,差异有统计学意义(t=20.160,P=0.000)。末次随访复查 X 线片示所有患者内固定位置良好,无松动及软骨下骨骨折。术后复发3例(复发率14.3%),均采用肿瘤假体置换。 结论 扩大刮除骨水泥填充联合钢板内固定术是治疗临膝关节Campanacci Ⅲ级骨巨细胞瘤的有效方法,可有效地保留膝关节功能,降低肿瘤复发率。 |
| 【关键词】骨巨细胞瘤 扩大刮除 膝关节 骨折固定术 |
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| Clinical observation of expanded curettage and cement reconstruction combined with internal fixation in the treatment of giant cell tumour around the knee joint at Campanacci Ⅲ |
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| ABSTRACT Objective To evaluate the effectiveness of expanded curettage and cement reconstruction combined with internal fixation in the treatment of giant cell tumor around the knee joint at Campanacci Ⅲ. Methods From January 2006 to December 2016, a total of 21 patients with giant cell tumor close to the knee at Campanacci Ⅲ were treated with above- mentioned method including 11 males and 10 females with an average age of 35 years old ranging from 21 to 61 years old. Duration of 1.5 month to 2 years, an average of 8 months. Among them, 8 at the distal femur and 13 at the proximal tibia.All cases were primary tumors. Results The patients’ incision got the grade A healing no complications such as infection and internal fixation failure happened. All cases were followed up for 8-120 months (average 46 months). At last follow-up, the Musculoskeletal Tumor Society (MSTS) score was 26.71±2.35 and the difference was significant when compared with preoperative value (15.24±1.14) (t=20.160,P=0.000). X- ray at the final following up showed internal fixation was well, no loosening and without fracture of the subchondral bone. The giant cell tumor recurred in 3 cases3 cases (14.3%), they were replaced with tumor prosthesis. Conclusion Expanded curettage and cement reconstruction with internal fixation in the treatment of giant cell tumor around the knee joint at Campanacci Ⅲ can effectively retain limb function and reduce tumor recurrence rate. |
| KEY WORDS Giant cell tumor of bone expanding curettage knee joint fracture fixation |
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