中国骨伤2019，Vol.32Issue(4)：372-376,5.DOI:10.3969/j.issn.1003-0034.2019.04.016
扩大刮除骨水泥填充联合内固定治疗临膝关节Campanacci Ⅲ级骨巨细胞瘤
Expanded curettage and bone cement filling combined with internal fixation for the treatment of Campanacci IⅡ giant cell tumour of knee joint
宋亚 1李超峰 1史晓通 1成远强 1索海强 1刘建囯1
作者信息
- 1. 吉林大学第一医院骨关节外科,吉林 长春 130021
- 折叠
摘要
Abstract
Objective :To evaluate clinical effects of expanded curettage and bone cement filling combined with internal fixation in treating Campanacci Ⅲ giant cell tumor of knee joint. Methods:From January 2006 to December 2016,21 patients with Campanacci Ⅲ giant cell tumor of knee joint were treated by expanded curettage and bone cement filling combined with internal fixation,including 11 males and 10 females with an average age of (35.24±10.56) years old (ranged from 21 to 61 years old). The courses of disease ranged from 1.5 to 24.0 months with an average of(8.1±4.4) months. Among them, 8 patients were distal femur and 13 patients were proximal tibia. All patients were primary tumors. Musculoskeletal Tumor Society(MSTS) scores were used to evaluate lower limb function before and after operation. X-ray was used to observe healing of lesions and the occurrence of adverse reactions. Results :All incisions were healed at grade A without complications such as infection and internal fixation failure. All patients were followed up from 8 to 56 months with an average of (29.62±9.48) months. MSTS score at the latest follow-up 26.71 ±2.35 was higher than that of before operation 15.24±1.14,and had statistical significance (t=20.160, P=0.000). The results of X-ray at final following-up showed internal fixation was well, and no loosening and fracture of subchondral bone. Three patients recurred giant cell tumor and replaced with tumor prosthesis. Conclusion :Expanded curettage and bone cement filling with internal fixation for the treatment of Campanacci Ⅲ giant cell tumor of knee joint could effectively retain limb function and reduce tumor recurrence rate.关键词
骨巨细胞瘤/刮除术/膝关节/骨折固定术,内Key words
Giant cell tumor of bone/Curettage/Knee joint/Fracture fixation,internal分类
医药卫生引用本文复制引用
宋亚,李超峰,史晓通,成远强,索海强,刘建囯..扩大刮除骨水泥填充联合内固定治疗临膝关节Campanacci Ⅲ级骨巨细胞瘤[J].中国骨伤,2019,32(4):372-376,5.
