The Significance of Rectus Femoris for the Favorable Functional Outcome After Total Femur Replacement.
The Significance of Rectus Femoris for the Favorable Functional Outcome After Total Femur Replacement.
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DOI：
10.1097/gox.0000000000000610
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发表时间：
2016-03
期刊：
影响因子：
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通讯作者：
Gokita T
中科院分区：
文献类型：
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作者：
Nakayama T;Matsumoto S;Shimoji T;Ae K;Tanizawa T;Gokita T
在肿瘤的治疗中，在许多手术中，我们通常在切除整个股骨后仅使用金属模块化内假体进行重建，并将其定义为全股骨置换术。我们研究了全股骨置换术后保留股直肌与功能预后之间的相互关系。我们对21例接受全股骨置换术的患者的功能结果进行了评分。我们将受试者分为2组：A组（保留股直肌）和B组（未保留股直肌）。我们通过肌肉骨骼肿瘤协会功能评分对两组患者进行了曼-惠特尼U测试。A组平均得分为20 / 25 (11-25;80%)，B组平均得分为10 / 25（4-13;40%）。两组间差异有统计学意义（P = 0.00168877）。我们发现，在全股骨置换术中，保留股直肌对于获得良好的功能结果至关重要。
In treatment of tumors, we usually reconstruct after resection of the entire femur using only metallic modular endoprostheses among many procedures and defined it as a total femur replacement. We studied the interrelation between the preservation of rectus femoris and the functional outcome after total femur replacement. We rated the functional outcomes of 21 patients who underwent total femur replacement. We categorized the subjects into 2 groups: group A (rectus femoris preserved) and group B (rectus femoris unpreserved). We examined them based on the Mann-Whitney U test between the 2 groups in average through the Musculoskeletal Tumor Society functional scores. The average score of group A was 20 of 25 (11–25; 80%), whereas the average score of group B was 10 of 25 (4–13; 40%). There was significant difference between the groups (P = 0.00168877). We found that the preservation of rectus femoris is imperative for achieving the favorable functional outcome in total femur replacement.