股骨中上段恶性肿瘤全大腿切除髋膝关节功能重建术  

FUNCTIONAL RECONSTRUCTION OF HIP AND KNEE AFTER REMOVAL OF TOTAL FEMUR IN TREATING MALIGNANT TUMORS OF MIDDLE OR UPPER THIRD FEMUR/

作　　者：李其训[1,2] 李主一[1,2] 李春晓[1,2] 张国训 徐永清[1,2] 安梅[1,2] 朱灿[1,2] 段朝州 李祥明[1,2] 

机构地区：[1]成都军区昆明总医院全军骨科中心 [2]解放军第533医院骨科

出　　处：《中国修复重建外科杂志》1996年第3期155-156,共2页Chinese Journal of Reparative and Reconstructive Surgery

摘　　要：１９８３年８月～１９９５年６月，采用全大腿切除髋膝关节功能重建术治疗股骨中上段恶性肿瘤１５例。其方法是先在患侧髂骨上打入一斯氏针，患肢根部扎止血带或腹股沟部显露动、静脉阻断血运，离断膝关节和髋关节后，引小腿上移并旋转１８０°，人工股骨头置换（打入胫骨髓腔内），最后修复股动、静脉。术后３周安装小腿假肢并开始功能锻炼。随访１～１２年，无１例死亡，亦未发现局部复先及转移，术后患侧髋、膝关节功能满意。该术式既能彻底切除肿瘤，又可获得髋。From August 1983 to June 1995, 15 cases of middle and upper 1/3 femoral malignant tumors were treated by removal of complete femur and functional reconstruction of both hip and knee. The key procedure was: arrested the artery and vein by rubber band with a nail put in the iliac bone, or exposed the atery and vein directly in the inguinal region. After the disarticulation of the hip and knee, the whole femur with the tumor was removed. Rotated the lower leg 180° and put an artificial femoral head on the upper end of tibia, kept the nerve, artery and vein intact or anastomosed the vessels. Three weeks after surgery, an artificial leg was put on and began to do functional exercises. From 1～12 years follow up, no mortality and no local recurrence or metastasis were noted. The function of the reconstructed hip and knee was satisfactory. This procedure could both provide a radical excision of the tumor and obtain a relatively good functioning hip and knee joints.

关 键 词：股骨 骨肿瘤 全大腿切除 髋膝关节重建 

分 类 号：R738.1[医药卫生—肿瘤]