保留肱骨内、外髁的全肱骨假体置换术(附2例报告)

Replacement with whole humeral prosthesis with the feature of retaining both extensor condyle and flexor condyle of humerus in the treatment of humeral bone tumor-a report of 2 cases

目的 介绍一种肱骨干肿瘤全肱骨假体置换术后保留肘关节功能的新方法。方法 设计保留肱骨内、外髁的肱骨假体 ,在切除能保留肱骨远端 5～ 7cm内肱骨瘤段 ,安装假体。结果 观察术后 0 5～ 1年 ,患者近期效果好 ,肘关节功能恢复良好 ,切除完整肿瘤无复发。结论 通过改用保留肱骨内、外骨髁假体置换 ,保留了患肢肘关节的功能 。

Objective To introduce a new surgical technique of replacement with whole humeral prosthesis in the treatment of humeral bone tumor meanwhile retaining the function of elbow joint. Method The humeral prosthesis has its special designed with the feature of remaining both extensor condyle and flexor condyle of humerus. The tumor was resected but remaining at least 5-7cm humeral shaft distally for implantation of prothesis.Results All cases were followed up for a period of 0.5-1 year. The short term results of these cases were satisfactory, the functions of elbow joints had been remained, tumor tissues were resected clearly without any recurrence.Conclusion By humeral prosthesis replacement with the feature of retaining both extensor condyle and flexor condyle of humerus in the treatment of humeral bone tumor, the function of affected elbow joint is remained, thus the living quality of patient improves remarkably.