Total Femur Replacement for Treatment of Chondrosarcoma Involving the Entire Femur
Total Femur Replacement for Treatment of Chondrosarcoma Involving the Entire Femur
复制标题
全股骨置换术治疗累及整个股骨的软骨肉瘤
DOI：
10.1111/os.12191
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发表时间：
2015
影响因子：
2.1
通讯作者：
Lei Wang
中科院分区：
文献类型：
--
作者：
K. Zheng;Xiu;Song‐feng Xu;Lei Wang
简介 如果不进行髋关节离断术，则很难治疗累及整个股骨大部分的肿瘤。 Van Nes 翻转手术允许外科医生切除 2⁄3 或更多的远端股骨以及血管，并将胫骨与脚一起抬起，但旋转 180° 作为替代膝盖。该程序虽然有详细记录，但经常用于治疗儿童或年轻人，而不是老年人。自 Buchman 于 1965 年首次报道以来，全股骨切除和金属假体置换一直是一些外科医生的首选选择。许多作者报告了大量金属系统手术的生存和功能结果；然而，这些手术存在一些困难，包括手术的复杂性和金属假体的一些问题。
Introduction Tumors that involve a large segment of the entire femur are difficult to treat without performing a hip disarticulation. The Van Nes turnabout procedure allows the surgeon to resect 2⁄3 or more of the distal femur along with the vessels and bring the tibia up with the foot in place but rotated 180° to serve as a surrogate knee. This procedure, although well documented, is frequently used to treat children or young adults but not older individuals. Total femoral resection and metallic prosthesis replacement has been the option preferred by some surgeons since it was first reported by Buchman in 1965. A number of authors have reported the survival and functional outcomes for large numbers of metallic system procedures; however, these procedures entail some difficulties including the complexity of the surgery and some problems with metallic prostheses.