摘要
目的总结股骨下端、胫骨上端恶性骨肿瘤患者保肢手术后膝关节功能康复方法。方法 64例恶性骨肿瘤患者接受不同方式的保肢手术治疗，平均随访36.8个月。结果(1)术后早期 系统的康复治疗有利于膝关节功能恢复和减少术后并发症。因恶性骨肿瘤保肢手术创伤大， 膝关节屈伸锻炼最早在手术1周后进行，而异体半关节移植的患者手术3周内需用支架固定。 （2）术后感染、皮肤坏死、关节退变和不稳是导致肢体功能不良的主要因素。（3）异体半 关节移植、保留自体髁部关节面的异体骨段移植、人工全膝关节置换的术后肢体功能优良率 分别为48.6％、81.3％、90.9％。结论保肢手术方法选择应注重恢复肢体功能，术后早期进 行康复训练有利于膝关节功能康复。
Objective Evaluation the results of limb function and the rehabilitatio n procedures after limb salvage for bone malignant tumors around knee joint.Meth od 64 patients suffered from bone malignant tumor were treated with different me thods. The average period of follow－up is 36.8 months.Result Early rehabilitati on may lead to better knee joint function. Skin necrosis, infection, bone non－u nion, fracture of allograft were the main complications which affect patients’ l imb postoperative functions. Total knee prostheses replacement was of recommende d method of limb salvage methods.Conclusion Rehabilitation procedures should be emphasized after limb salvage for bone malignant tumors around knee joint, and e arly limb exercises may lead to better joint function
出处
《中国组织工程研究》
CAS
CSCD
2001年第8期33-34,共2页
Chinese Journal of Tissue Engineering Research
关键词
骨恶性肿瘤
保肢手术
术后康复
bone neoplasm
limb salvage
postoperative rehalibation
