论文部分内容阅读
目的肩关节肿瘤切除后,探讨不同重建方式的患肢长期功能。方法回顾性分析32例肩关节肿瘤保肢患者的临床资料。重建方式包括:8例一期肩关节融合,7例假体异体骨复合物,6例功能性间隔物,5例未行重建或悬吊术,3例假体,2例带血管蒂腓骨和1例异体骨。结果23例生存患者平均随访81个月。不同重建方式的功能评分分别为:一期肩关节融合为87%,主动运动优良,肩部有力;假体异体骨复合物为79%,间隔物为66%,未重建为85%,假体为60%和带血管蒂腓骨为73%。结论肩关节肿瘤的重建方式是根据切除范围和患者的实际需要来选择。如外展肌群无法重建,肩关节融合的功能良好,肩部有力;如果外展肌群可以重建,假体异体骨复合物功能较好。
Objective After resection of the shoulder joint tumor, explore the long-term function of limbs in different reconstruction methods. Methods The clinical data of 32 limb salvage patients with limb salvage were retrospectively analyzed. The reconstruction included 8 cases of primary shoulder fusion, 7 cases of prosthesis allograft complex, 6 cases of functional spacers, 5 cases of no reconstruction or suspension, 3 cases of prosthesis, 2 cases of vascularized fibula and 1 case Allogeneic bone. Results The 23 surviving patients were followed up for an average of 81 months. The functional scores of different reconstruction methods were as follows: the first-stage shoulder fusion was 87%, excellent active movement and strong shoulder; the prosthesis allograft composite was 79%, the spacer was 66%, the reconstruction was 85% 60% and vascularized fibula 73%. Conclusion The reconstruction of shoulder tumors is based on the extent of resection and the actual needs of patients to choose. If the abductor muscle can not be reconstructed, the function of the shoulder joint fusion is good and the shoulder is strong. If the abductor muscle group can be reconstructed, the prosthesis allograft complex functions better.