应用骨关节转移系统治疗股骨远端骨样骨瘤1例

IF 0.2 Q4 ORTHOPEDICS
Nikki A. Doerr, A. Kellish, M. Kleiner, C. Gutowski
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引用次数: 0

摘要

导读:股骨远端骨骺软骨下骨的肿瘤切除在技术上具有挑战性,特别是对于骨骼不成熟的患者,因为上面的骨骺和下面的关节面是开放的。保存骨性、维持软骨的结构支持和完整性以及关节运动学的保存都必须考虑到,并且经常受到目前经皮或开放手术治疗方案的威胁。材料和方法:我们提出一个16岁的男性运动员股骨远端骨骺病变的病例。他接受了经关节整体切除和骨关节转移系统(OATS)技术的自体移植物重建。结果:最终病理显示完全切除骨样骨瘤。术后3个月,患者恢复了完全的力量和活动范围,术后22个月,患者不再患病,并恢复到完全的运动参与水平。结论:本文描述了一种切除股骨远端软骨下骨骺病变的技术,该技术可降低骨骺损伤、不完全肿瘤切除和医源性上覆软骨损伤相关并发症的风险。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Utilization of Osteoarticular Transfer System in the Treatment of Distal Femur Osteoid Osteoma: A Case Report
Introduction: Tumor excision of the subchondral bone of the distal femur epiphysis is technically challenging particularly in skeletally immature patients due to the open physis above and articular surface below. Preservation of the physis, maintenance of structural support to, and integrity of, the cartilage, and conservation of joint kinematics must all be considered and are often threatened by current percutaneous or open surgical treatment options. Materials and Methods: We present a case of a 16-year-old male athlete with a distal femur epiphyseal bone lesion. He underwent transarticular en bloc excision and autograft reconstruction using osteoarticular transfer system (OATS) technique. Results: Final pathology revealed complete excision of an osteoid osteoma. The patient had regained full strength and range of motion at 3 months postoperatively, and at 22 months postoperatively was free of disease and back to full level of athletic participation. Conclusions: This article describes a technique for excision of subchondral epiphyseal bone lesions in the distal femur in skeletally immature patients which mitigates the risk of complications associated with physeal injury, incomplete tumor resection, and iatrogenic injury to the overlying cartilage.
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来源期刊
CiteScore
0.60
自引率
0.00%
发文量
31
期刊介绍: The purpose of Techniques in Orthopaedics is to provide information on the latest orthopaedic procedure as they are devised and used by top orthopaedic surgeons. The approach is technique-oriented, covering operations, manipulations, and instruments being developed and applied in such as arthroscopy, arthroplasty, and trauma. Each issue is guest-edited by an expert in the field and devoted to a single topic.
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