Lower limb salvage surgery with MUTARS endoprostheses: 2 to 7 year results.
Lower limb salvage surgery with MUTARS endoprostheses: 2 to 7 year results.
复制标题
使用 MUTARS 内置假体进行下肢挽救手术：2 至 7 年的结果。
作者：
C. Heisel;S. Breusch;Gernot Schmid;L. Bernd
骨缺损的重建仍然是骨科肿瘤学的一个挑战。同种异体和自体骨移植，以及巨型假体是公认的骨重建方法。模块化的骨水泥和非骨水泥内假体系统已经变得更受欢迎，以修复不同大小的缺陷。在一项前瞻性临床研究中，对1995年至2000年间连续接受MUTARS内假体治疗的50名患者的临床和放射学结果进行了评估。术后平均随访46个月(25~86个月)。临床疗效良好，Enneking评分平均为72%(33~100%，SD+/-19)。放射学评估显示多种类型的骨重建，包括皮质外骨桥接。11例出现早期症状性松动，需行翻修手术。总而言之，如果第一代设计的问题能够得到解决，MUTARS内假体的使用可能是治疗下肢主要骨缺损的一种有价值的工具。
The reconstruction of bone defects remains a challenge in orthopaedic oncology. Allogenic and autologous bone grafts, as well as megaprostheses are well-recognised methods for bone reconstruction. Modular, both cemented and cementless, endoprosthetic systems have become more popular to bridge defects of different sizes. The clinical and radiological results of 50 consecutive patients treated with MUTARS endoprostheses between 1995 and 2000 were evaluated in a prospective clinical study. The average follow-up was 46 months (25-86 months). Clinical evaluation showed good results with an average Enneking-Score of 72% (33-100%, SD +/- 19). Radiological evaluation showed various patterns of bone remodelling including extracortical bone bridging. Early symptomatic loosening occurred in 11 cases, necessitating revision surgery. In conclusion, the use of the MUTARS Endoprosthesis may be a valuable tool in the treatment of major bone defects in the lower limb, if the problems with the first-generation design can be solved.
自体嵌体移植可增强多孔涂层节段置换假体上皮质外组织的形成。
DOI：
10.2106/00004623-199904000-00006
发表时间：
1999
期刊：
The Journal of bone and joint surgery. American volume
影响因子：
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作者：
Virolainen,P;Inoue,N;Nagao,M;Ohnishi,I;Frassica,F;Chao,EY
通讯作者：
Chao,EY