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find Keyword "腓骨近端" 3 results
  • RECONSTRUCTION OF THE KNEE STABILITY AFTER RESECTION OF TUMORS OF THE PROXIMAL FIBULA

    Objective To investigate the method and the cl inical outcomes of reconstruction of the knee stability after resection of tumors of the proximal fibula. Methods The cl inical data were retrospectively analyzed, from 16 patients with tumors of the proximal fibula undergoing proximal fibular resections and reconstructions of the lateral collateral ligament and the tendon of the biceps femoris with anchors between January 2008 and December 2009 (test group). Five patients underwent proximal fibular resection but were not given reconstruction surgery at the same period as the control group. There was no significant difference in gender, ages, disease duration, and tumor site between 2 groups (P gt; 0.05). Lateral stress test was performed after operation; X-ray films were taken to measure the joint space. Musculoskeletal Tumor Society (MSTS) functional score system was used to evaluate the joint function. Results All incisions healed by first intention in 2 groups. Iatrogenic complete peroneal nerve function loss occurred in patients undergoing Malawer type II surgical resection. The patients in both groups were followed up 12 to 36 months, with an average of 30 months. One patient with osteosarcoma of the test group developed local recurrence, and died of lung and systemic metastases after 12 months; the other patients had no recurrence. At last follow-up, the results of knee lateral stress test were negative in the test group, and the joint space increased and was classified as grade A; the results of knee lateral stress test were positive in the control group, and the joint space was classified as grade D. The MSTS score was 97.5 ± 3.5 in the test group and 87.5 ± 3.5 in the control group, showing significant difference (t=2.85, P=0.01). Conclusion The reconstruction of the bony attachment of the lateral collateral ligament and the tendon of the biceps femoris with anchors after resection of the proximal fibula is a safe, rel iable, and simple technique to reconstruct knee stabil ity after resection of tumors of the proximal fibula.

    Release date:2016-08-31 04:23 Export PDF Favorites Scan
  • 腓骨近端游离移植重建桡骨远端骨巨细胞瘤切除后骨缺损

    【摘 要】 目的 总结桡骨远端骨巨细胞瘤(giant cell tumor,GCT)切除后自体腓骨近端游离移植修复重建方法及效果。 方法 1997 年3 月- 2005 年3 月,对7 例桡骨远端GCT 患者行瘤段切除、自体腓骨近端游离移植修复重建术,其中男2 例,女5 例;年龄31 ~ 55 岁。术前腕关节平均活动度:掌屈37°,背伸30°,桡偏9°,尺偏15°;前臂旋前58°,旋后61°。影像学检查示肿瘤范围为4 cm × 3 cm × 3 cm ~ 8 cm × 6 cm × 4 cm。按改良Campanacci 影像学分级系统对GCT 进行分级,Ⅱ级5 例,Ⅲ级2 例。病理骨折3 例,所有患者桡骨远端骨质破坏均超过50% 。 结果 术后7 例患者均获随访,随访时间6 ~ 48 个月,平均16 个月。未发现肿瘤局部复发和远处转移,术后无感染、骨吸收和骨不愈合。移植腓骨全部成活,骨愈合时间10 ~ 14 周。重建腕关节外观及功能良好,腕关节平均活动度:掌屈40°,背伸36°,桡偏14°,尺偏20°,前臂旋前52°,旋后48°。根据肌肉骨骼肿瘤学会保肢评分标准进行功能评价,本组优3 例,良3 例,可1 例。 结 论 腓骨近端游离移植对桡骨远端肿瘤切除后骨缺损的重建是一良好的选择,远期效果尚待进一步观察。

    Release date:2016-09-01 09:14 Export PDF Favorites Scan
  • PROXIMAL FIBULAR OSTEOTOMY COMBINED WITH ARTHROSCOPIC DEBRIDEMENT FOR TREATING MEDIAL KNEE OSTEOARTHRITIS WITH VARUS

    ObjectiveTo evaluate the effectiveness of proximal fibular osteotomy combined with arthroscopic debridement in the treatment of medial knee osteoarthritis with varus. MethodsBetween December 2013 and June 2015, 61 patients with medial knee osteoarthritis with varus were treated by arthroscopic debridment in 32 cases (group A) and by proximal fibular osteotomy combined with arthroscopic debridement in 29 cases (group B). No significant difference was found in gender, age, side, disease duration, OA stage, visual analogue scale (VAS) score, and knee society score (KSS) between 2 groups (P > 0.05). The clinical outcome was evaluated by VAS score and KSS score at 1 week, 3 months, and 12 months after operation. ResultsThe patients in 2 groups were followed up 12 months. All incisions healed by first intention. There was no significant difference in complication incidence between groups A and B (0 vs. 3.4%; χ2=0.723, P=0.432). The VAS scores were significantly decreased at 1 week, 3 months, and 12 months after operation when compared with preoperative score in 2 groups (P < 0.05). The VAS score of group A was significantly lower than that of group B at 1 week after operation (P < 0.05), but the VAS score of group A was significantly higher than that of group B at 3 months, and 12 months after operation (P < 0.05). The knee function was obviously improved in 2 groups, and the KSS scores at 1 week, 3 months and 12 months after operation were significantly better than preoperative score (P < 0.05). The KSS score of group A was significantly lower than that of group B at 3 months, and 12 months after operation (P < 0.05). ConclusionProximal fibular osteotomy combined with arthroscopic debridement can treat knee malalignment and disease in knee, it is an effective and safe method to treat the medial knee osteoarthritis with varus.

    Release date:2016-11-14 11:23 Export PDF Favorites Scan
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