雑誌文献を検索します。書籍を検索する際には「書籍検索」を選択してください。

検索

書誌情報 詳細検索 by 医中誌

Japanese

Reconstruction with Heat-treated Autologous Bone Grafts after Malignant Tumor Resection Hideki MURATA 1 , Mitsuru TAKAHASHI 1 , Hirohisa KATAGIRI 1 , Junji WASA 1 , Takayoshi SUZUKI 1 , Seiichi HOSAKA 1 , Tetsuo SHIMOYAMA 1 1Division of Orthopaedic Oncology, Shizuoka Cancer Center Hospital Keyword: 加温処理骨 , heat-treated bone , 骨移植 , bone graft , 再建 , reconstrucion pp.595-601
Published Date 2013/6/25
DOI https://doi.org/10.11477/mf.1408102734
  • Abstract
  • Look Inside
  • Reference

 Background:This study is aimed to clarify the efficacy of reconstruction with heat-treated autografts.

 Methods:We evaluated 20 consecutive cases in which tumor resection had been followed by reconstruction with heat-treated autografts between 2002 and 2010. The tumor site was a lower limb in 17 cases and the pelvis in 3 cases. We retrospectively analyzed the oncological results, bone union, ambulatory function, and complications.

 Outcome:After a mean follow-up period of 44 months no local recurrences have been observed, and 15 patients are disease-free. Union at the host-graft junction was observed in 19 of the 20 patients (95%) at an average of 8.8 months postoperatively. Eighteen of the 20 patients regained excellent walking function. Complications developed in 7 patients (35%) and consisted of infection in 3 patients, bone resorption in 2 patients, a fracture in 1 patient, and non-union in 1 patient.

 Conclusion:Reconstruction by inlay grafting and combination with a vascularized fibula (hybrid) yielded excellent results. On the contrary, osteoarticular and simple intercalary grafting should be applied in selected cases, because they were related with a high complication rate.


Copyright © 2013, Igaku-Shoin Ltd. All rights reserved.

基本情報

電子版ISSN 1882-1286 印刷版ISSN 0557-0433 医学書院

関連文献

もっと見る

文献を共有