吻合血管带腓骨头腓骨移植重建肩腕关节

Limb Salvage Surgery for Shoulder or Wrist in Bone Tumor by using Free Vascularised Fibular Graft with Fibular Head

目的 :扩展活腓骨移植在骨肿瘤保肢手术中的应用 ,特别涉及关节端骨肿瘤保肢治疗的应用。方法 :采用吻合血管带腓骨头的腓骨移植重建 10例肱骨头周 ,5例桡骨远端骨肿瘤瘤段切除术后的肩、腕关节。结果 :术后 6个月所有腓骨移植段与受区骨端愈合良好 ,骨形态替代理想 ,重建后的肩、腕关节无论从外观或功能方面均获得较好的重建效果。结论 :吻合血管带腓骨头的腓骨移植对肩关节肱骨端、腕关节桡骨端骨肿瘤保肢手术的关节重建中起到较好的替代作用。

Objective: To expand the limb saving surgery by free vascularised fibular graft for bone tumor resection, especially, which occurs on the area involving articulate surface of shoulder or wrist. Method: Use free vascularised fibular grafts with fibular head as substitutes for reconstruction and limb salvage after resection for bone tumor occur on 10 proximal humerus and 5 distal radius. Result: All fibular grafts united within six months and were regarded as an ideal substitute because of its bone shape. Postoperatively, both outlook and function of shoulders and wrists have good results. Conclusion: In the procedure on reconstruction and limb salvage after bone tumor resection of proximal humerus or distal radius, the free vascularised fibular graft with fibular head is an ideal subsitute.