Limb salvage procedure for neoplasms about the knee by spherocentric total knee arthroplasty and autogenous autoclaved bone grafting.
Limb salvage procedure for neoplasms about the knee by spherocentric total knee arthroplasty and autogenous autoclaved bone grafting.
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通过球心全膝关节置换术和自体高压灭菌骨移植对膝关节肿瘤进行保肢手术。
DOI：
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发表时间：
1983
影响因子：
4.2
通讯作者：
A. Alexander
中科院分区：
文献类型：
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作者：
J. Johnston;T. Harries;C. E. Alexander;A. Alexander
对15例肿瘤患者行球心型全关节置换术。平均随访30个月。在9名患者中，同时还从切除的标本中制备了高压灭菌的自体骨植入物。10例患者结果满意，5例不满意。1名患者发生感染，需要截肢。1例骨肉瘤患者在20个月时复发，接受截肢治疗。结果不佳是由于2例患者的股骨柄失效和1例患者的部件松动造成的。全关节置换术结合高压蒸汽灭菌植骨是治疗膝关节周围肿瘤切除后的有效保肢手术。
Spherocentric total joint arthroplasty was performed for treatment of neoplasm in 15 patients. The average follow-up period was 30 months. In nine of the patients concomitant autoclaved autologous bone implants were also prepared from the resected specimens. The results were satisfactory in ten patients and unsatisfactory in five. One patient had an infection that required amputation. One patient with osteosarcoma had a recurrence at 20 months and was treated by amputation. Poor results were caused by stem failure in two patients and by component loosening in one patient. Total joint arthroplasty combined with autoclaved bone implantation is a useful limb salvage procedure for resected neoplasms about the knee.