膝部骨巨细胞瘤切除功能重建术  

Resection of giant cell tumor of the knee and articular functional reconstruction

作　　者：张天宏[1] 朱劲松[1] 杨效宁[1] 

机构地区：[1]遵义医学院附院,贵州遵义563003

出　　处：《中国骨伤》2002年第7期394-395,共2页China Journal of Orthopaedics and Traumatology

摘　　要：目的　探讨膝部骨巨细胞瘤切除功能重建术的临床应用情况。方法　膝部骨巨细胞瘤根治性局部切除后 ,保留肢体 ,同时采用髌骨带蒂翻转术重建膝关节功能。结果　经随访 6个月～ 8年 ,疗效良好 ,优良率达 87% ,患肢能负重行走 ,膝关节稳定性好 ,活动度为 0°～ 86°。结论　骨肿瘤切除后的缺损 ,使用带蒂髌骨翻转重建膝关节 ,恢复了膝关节的伸屈功能 。Objective To investigate the method of resection of giant cell tumor of bone of the knee and the articular functional reconstruction Methods After giant cell tumor of bone of the knee was,radically resected with salvage of the lower limb,functions of knee joint were reconstructed using the method of turnover of knee patella along with blood vessel pedicle.Results According to follow up studies of from 6 months to 8 years,this method treatment was satisfactory and the excellent ratio was seen 87%.The lower limb could walk after surgery with weightbearing.Knee functions are mostly retained and the range of movement of knee joint was from 0° to 86.Conclusion The defect left after resection of bone tumor was partially compensated by turnover of knee patella along with blood vessel pedicle and knee functions were recovered.By doing so,flexion and extension functions of knee joint are restored.Thus,the inconveniences of previous knee joint fusion and limb amputation were avoided.

关 键 词：功能重建术 膝关节 骨肿瘤 外科手术 治疗 

分 类 号：R738.105[医药卫生—肿瘤]