Consolidation of massive bone allografts in limb-preserving operations for bone tumours

被引:2
作者
Aranguren, MSJ
Leyes, M
Mora, G
Canadell, J
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R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
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摘要
This study analysed the influence of several factors affecting the consolidation time of 83 massive bone allografts in 79 patients with malignant bone tumours: osteosarcoma 57; Ewing's sarcoma 8; malignant fibrous histiocytoma 3; chondrosarcoma 4; fibrosarcoma 5; and giant cell tumours 2. The mean age of the patients was 19 years and the mean length of the allografts was 18 cm. The minimum follow up was for 12 months. The mean consolidation time for metaphyseal and diaphyseal osteotomies was 6.5 and 16 months respectively. Fifteen diaphyseal osteotomies required autologous cancellous grafting. There were 8 allograft fractures after consolidation. The following factors which might influence consolidation were analysed: age of the host and donor; allograft length and site, type of osteotomy and osteosynthesis; intra-arterial and systemic chemotherapy; intraoperative and external radiotherapy. In diaphyseal osteotomies there were statistically significant differences in consolidation time with the use of systemic chemotherapy, external radiotherapy and the recipient's age.
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页码:377 / 382
页数:6
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共 58 条
[21]  
GLASSER DB, 1991, CLIN ORTHOP RELAT R, V262, P93
[22]  
GOLDWEIN JW, 1991, CLIN ORTHOP RELAT R, V262, P101
[23]   EXPERIMENTAL STUDIES ON THE RESPONSE OF GROWING BONES TO X-RAY AND NEUTRON-IRRADIATION [J].
GONZALEZ, DG ;
VANDIJK, JDP .
INTERNATIONAL JOURNAL OF RADIATION ONCOLOGY BIOLOGY PHYSICS, 1983, 9 (05) :671-677
[24]   EFFECT OF IRRADIATION ON FACIAL GROWTH - A 7-YEAR TO 25-YEAR FOLLOW-UP [J].
GUYURON, B ;
DAGYS, AP ;
MUNRO, IR ;
ROSS, RB .
ANNALS OF PLASTIC SURGERY, 1983, 11 (05) :423-427
[25]   FUNCTION AFTER AMPUTATION, ARTHRODESIS, OR ARTHROPLASTY FOR TUMORS ABOUT THE KNEE [J].
HARRIS, IE ;
LEFF, AR ;
GITELIS, S ;
SIMON, MA .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1990, 72A (10) :1477-1485
[26]  
JOHNSON ME, 1991, ORTHOP CLIN N AM, V22, P87
[27]  
KENAN S, 1991, CLIN ORTHOP RELAT R, V270, P223
[28]  
Khoo D B, 1992, Ann Acad Med Singap, V21, P217
[29]  
KOHLER R, 1990, INT ORTHOP, V14, P249
[30]  
MANKIN HJ, 1992, ORTHOPEDICS, V15, P1147