吻合腓血管带骨骺腓骨近段移植重建小儿骨肿瘤切除后肩关节或桡腕关节

Shoulder or Wrist Reconstruction after Bone Tumor Resection Using Free Vaseularised Proximal Fibular Graft Including Osteoepiphysis by Anastomosis of Fibular Vessel in Children

目的探讨吻合腓血管带骨骺腓骨近段移植重建小儿骨肿瘤切除后肩关节、桡腕关节的临床效果。方法采用吻合腓血管的带骨骺腓骨近段移植重建11例肱骨近端和桡、尺骨远端骨肿瘤瘤段切除后肩关节、桡腕关节,并评价其重建效果。结果术后3个月所有腓骨移植段与受区骨端愈合良好,与健侧肢体同步生长,重建后的肩关节、桡腕关节在形态和功能方面均获得较好的重建效果。结论吻合腓血管带骨骺腓骨近段移植重建小儿骨肿瘤切除后肩关节、桡腕关节,疗效满意。

Objective To study the clinical effect of shoulder or wrist reconstruction after bone tumor resection using the free vascularised proxinal fibular graft with fibular head including osteoepiphysis by anastomosis of fibular vessel in children. Methods Free vascularised poxirnal fibular grafts with fibular head including epiphysis and anastomosis of fibular vessel was used as substitute to reconstruct shoulder or wrist after bone tumor resection in 11 patients （ageranged from 4 to 12, average 6.5 yearsold）, and the clinical effect investigate. Results All fibular grafts united within 3 months and were regarded as an ideal substitt,te because of its bone - shape. Both outlook and function of shoulders and wrists had good results postoperatively. Conclusion The free vascularised fibular graft with fibular head including ostecepiphysis by anastomosis of fibular vessel is an ideal substitute for shoulder or wrist reconstruction after bone tumor resection in children.