内锁髓内钉并异体骨植骨治疗肱骨肿瘤切除术后骨缺损  

Humeral Massive Bone Defecy Reconstruction by Allograft with Interlocked Intramedullary Nailing

作　　者：刘继中[1] 王臻[1] 胡蕴玉[1] 于会东[1] 

机构地区：[1]第四军医大学西京医院全军骨科研究所骨二科,西安710032

出　　处：《中国矫形外科杂志》2000年第8期745-747,共3页Orthopedic Journal of China

摘　　要：目的 :评价肱骨内锁髓内钉复合异体骨段 (关节 )移植重建肱骨恶性肿瘤所致的大段骨缺损的临床效果。方法 :应用肱骨内锁髓内钉复合异体半关节或骨段移植治疗肱骨恶性骨肿瘤 11例 ,随访时间 11～ 3 8个月。结果 :8例植骨愈合 ,2例骨不连 ,1例肿瘤局部复发后截肢。术后总评优良率 63 .6%。植骨延迟愈合及肩关节无力是主要的并发症。结论 :肱骨内锁髓内钉固定牢固 ,复合异体骨段 (关节 )移植允许患者早期活动 ,值得推荐。Objective: To evaluate the effect of allografting with interlocked intramedullary nailing on humeral massive bone defect reconstruction. Methods: The interlocked intramedullary nailing had been used on 11 patients with humeral malignant tumor by allografting. The range of follow up was 11 to 38 months. Result: 8 of 11 allograft host bone junctions healed and two were non union. 1 tumor local recurrence and the patient suffered amputation. 8 shoulders restoration were limited but functional range of motion and strength and the follows were poor. The rate of excellent and good was 63.6% base on the Mankin's allograft assessment system. Conclusion: Our results suggested this technique can accomplish stable fixation, allow early movement of shoulder joint.

关 键 词：肱骨 内锁髓内钉 骨重建 肱骨肿瘤 治疗 

分 类 号：R738.1[医药卫生—肿瘤]