肱骨近端节段骨缺损修复重建的研究进展

Research progress on repair and reconstruction of proximal humerus bone defects

肱骨近端是原发性和转移性骨肿瘤的常见部位之一,切除肿瘤的同时需切除大量骨性结构及软组织,其修复重建在骨肿瘤领域中极具挑战性。常见的手术方式包括生物学重建、假体重建、同种异体骨-假体复合体重建、反向肩关节置换术、肩关节融合术等,不同术式各具优缺点,临床医生应该结合患者病情及对并发症的耐受性选择最合理的术式。

The proximal humerus is one of the most common sites of primary and metastatic bone tumors,which resected leads massive bone and soft tissues defects.Common surgical reconstruction includes biological reconstruction,endoprostheses reconstruction,allograft bone-prosthesis composites reconstruction,reverse shoulder joint replacement,shoulder joint fusion,etc.Different surgical methods have their own advantages and disadvantages.Clinicians should choose the most reasonable surgical method based on the patient’s condition and tolerance to complications.