• Department of Orthopedics;;
  • Xijing Hospital;;
  • the Fourth Military Medical University. Xi an Shanxi;;
  • P. R. China 710032.;;
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OBJECTIVE: To evaluate the results of limb function and the methods of bone and soft tissue reconstruction of patients treated with allografting. METHODS: From May 1992 to January 1999, 90 patients suffered from bone malignant tumor were treated with allografting in different methods of internal fixations. The average follow-up was 37.5 months. The limb postoperative function, complications related to different surgical methods were compared according to Enneking evaluation system. RESULTS: Skin necrosis, infection, non-union, fracture of allograft were the main complications which affect patients’ limb postoperative functions. Of the 90 fresh-frozen allografting procedures, the final results of operation showed that hip joints and knee joints were better than the shoulder joints. More than 80% of the patients treated with interlocked intramedullary nail and allograft-prosthesis combination led to an over-all result that was excellent and good. Interlocked intermedullary nail was of recommended method of internal fixation. Early exercises of operative limbs could promote function recovery. CONCLUSION: Using of interlocked intramedullary nail and allograft-prosthesis combination are of recommended operation method and can be applied with better results, and early exercises of operative limbs will lead to better functions.

Citation: LIU Ji zhong,WANG Zhen,LI Ming quan,et al.. ALLOGRAFTING FOR MASSIVE BONE DEFECT: BONE AND SOFT TISSUE RECONSTRUCTION AND POSTOPERATIVE REHABILITATION. Chinese Journal of Reparative and Reconstructive Surgery, 2001, 15(4): 244-247. doi: Copy