| 股骨近端骨肿瘤切除后特制人工假体置换 |
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| 引用本文： | 周忠,陈学明,王万明.股骨近端骨肿瘤切除后特制人工假体置换[J].临床骨科杂志,2007,10(3):216-217. |
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| 作者姓名： | 周忠 陈学明 王万明 |
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| 作者单位： | 南京军区福州总医院骨二科,福建,福州,350025;南京军区福州总医院骨二科,福建,福州,350025;南京军区福州总医院骨二科,福建,福州,350025 |
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| 摘 要： | 目的探讨股骨近端骨肿瘤切除后特制人工假体置换疗效。方法18例股骨近端骨肿瘤均采用瘤段切除、特制人工假体置换。结果18例均安全度过围手术期,4例于术后1年左右死亡。生存的14例关节获平均2年9个月随访,按Enneking肢体肌肉骨骼肿瘤外科治疗重建术后功能评估标准进行评估：4-5分10例,3分3例,1分1例。结论根据股骨近端肿瘤类型采用合理的肿瘤边缘完整切除手术,选择适当假体和治疗方式,能有效重建髋关节功能并达到保肢目的。
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| 关 键 词： | 股骨肿瘤 关节成形术 置换 保肢治疗 |
| 文章编号： | 1008-0287（2007）03-0216-02 |
| 收稿时间： | 2007-03-18 |
| 修稿时间： | 2007-03-18 |
Individulized prosthesis replacement in the treatment of tumors on proximal femur |
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| ZHOU Zhong,CHEN Xue-ming,WANG Wan-ming.Individulized prosthesis replacement in the treatment of tumors on proximal femur[J].Journal of Clinical Orthopaedics,2007,10(3):216-217. |
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| Authors: | ZHOU Zhong CHEN Xue-ming WANG Wan-ming |
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| Institution: | Dept of 0rthopaedics, Fuzhu General Hospital of Nanjing Command, Fuzhou, Fujian 350025, China |
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| Abstract: | Objective To evaluate the effect of individulized prosthesis replacement in the treatment of tumors on proximal femur. Methods 18 patients with tumors on proximal femur were treated with bloc resection and individulized prosthetic replacement. Results All patients were in good condition during operation.4 died about one year after operation.The rest were followed up for average 2 years and 9 months,whose joints were evaluated in regard to function with use of Enneking system, and 10 cases had excellent or good results,3 fair,and 1 poor.Conclusions It can reconstruct the function of hip and achieve limb salvage in the cases of tumors on prosimal femur by the treatment of reasonable en bloc resection and appropriate prosthetic replacement. |
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| Keywords: | femoral neplasms arthroplasty replacement salvage therapy |
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