Journal of shoulder and elbow surgery · 2009
Custom-made prosthesis replacement for reconstruction of elbow after tumor resection.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Tang Xiaodong, Guo Wei, Yang Rongli, Tang Shun, Yang Yi
Аннотация
HYPOTHESIS: The options for reconstruction after excision of a tumor around the elbow are technically difficult and limited.
MATERIALS AND METHODS: We retrospectively reviewed 25 patients who underwent custom-made endoprosthetic reconstruction after tumor resection near the elbow between 1998 and 2007.
RESULTS: At final follow-up, 14 patients (56%) were alive, and 11 (44%) had died of their disease. Local recurrence was encountered in 4 patients (16%). Complications occurred in 6 patients (24%), including vascular injury, neurapraxia of the radial nerve, and aseptic loosening in 4. The average Musculoskeletal Tumor Society 93 score was 23.9 points, and the average Mayo Elbow Performance score was 82 points. Pain was relieved in all patients, although some limitations of lifting ability were reported. Ten patients had an arc of elbow motion of more than 100 degrees after reconstruction.
CONCLUSIONS: In most patients, local tumor resection and prosthetic reconstruction of the elbow can be done with oncologic safety, and provides good function with low rates of complications.
MATERIALS AND METHODS: We retrospectively reviewed 25 patients who underwent custom-made endoprosthetic reconstruction after tumor resection near the elbow between 1998 and 2007.
RESULTS: At final follow-up, 14 patients (56%) were alive, and 11 (44%) had died of their disease. Local recurrence was encountered in 4 patients (16%). Complications occurred in 6 patients (24%), including vascular injury, neurapraxia of the radial nerve, and aseptic loosening in 4. The average Musculoskeletal Tumor Society 93 score was 23.9 points, and the average Mayo Elbow Performance score was 82 points. Pain was relieved in all patients, although some limitations of lifting ability were reported. Ten patients had an arc of elbow motion of more than 100 degrees after reconstruction.
CONCLUSIONS: In most patients, local tumor resection and prosthetic reconstruction of the elbow can be done with oncologic safety, and provides good function with low rates of complications.
Предметные рубрики MeSH
AdolescentAdultAgedArthroplasty, ReplacementBone NeoplasmsCohort StudiesElbow JointFemaleFollow-Up StudiesHumansHumerusJoint ProsthesisLimb SalvageMagnetic Resonance ImagingMaleMiddle AgedPain MeasurementPostoperative CarePreoperative CareProsthesis DesignProsthesis FailureProsthesis FittingRange of Motion, ArticularPlastic Surgery ProceduresRetrospective StudiesRisk AssessmentSurvival AnalysisTime FactorsTreatment OutcomeYoung Adult