Total femur replacement with 18 years of follow-up: A case report.

Total femur replacement with 18 years of follow-up: A case report.
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随访 18 年的股骨全置换术:病例报告。

DOI:
10.12998/wjcc.v10.i15.4957
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发表时间:
2022-05-26
影响因子:
1.1
通讯作者:
Yang, Zuo-Zhang
Yang, Zuo-Zhang
中科院分区:
医学4区
文献类型:
--
作者:
Yang, Yi-Hao;Chen, Jia-Xiang;Chen, Qiu-Yun;Wang, Yu;Zhou, Yao-Bin;Wang, Hong-Wei;Yuan, Tao;Sun, Hong-Pu;Xie, Lin;Yao, Zhi-Hong;Yang, Zuo-Zhang

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骨肉瘤是最常见的原发性恶性骨肿瘤之一,多见于青少年。股骨是骨肉瘤最常见的部位,许多患者需要全股骨置换。我们回顾了相关文献和案例研究结果,并结合相关文献对本案例进行了总结和分析,从而提高了对该技术的认识。我们报告的病例是一个15岁的病人,在发现右大腿肿块15天后入院。诊断为右股骨干骨肉瘤。完成新辅助化疗及术前准备后,行右侧股骨全切除+人工全股骨置换术。术后继续化疗。患者经治疗后恢复良好,患肢功能良好。随访18年,无复发、转移、假体松动、脱位、骨折等并发症。目前患者仍能正常工作生活。中、长期随访结果满意。人工全股骨置换术是治疗股骨恶性肿瘤的一种可行的保肢手术,中、长期随访效果满意。
Osteosarcoma is one of the most common primary malignant bone tumors and is more common in adolescents. The femur is the most common site of osteosarcoma, and many patients require total femur replacement. We reviewed the relevant literature and case findings, summarized and analyzed this case in combination with relevant literature, and in doing so improved the understanding of the technology. The case we report was a 15-year-old patient who was admitted to the hospital 15 days after the discovery of a right thigh mass. The diagnosis was osteosarcoma of the right femoral shaft. After completion of neoadjuvant chemotherapy and preoperative preparation, total right femoral resection + artificial total femoral replacement was performed. Then, chemotherapy was continued after surgery. The patient recovered well after treatment, and the function of the affected limb was good. No recurrence, metastasis, prosthesis loosening, dislocation, fracture or other complications were found during 18 years of follow-up. At present, the patient can still work and lives normally. The results of the medium- and long-term follow-up were satisfactory. Artificial total femur replacement is a feasible limb salvage operation for patients with femoral malignant tumors, and the results of medium- and long-term follow-up are satisfactory.
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