1.Operative treatment of benign bone tumor defects in proximal joint by fibula transplantation with vascular and artificial joint replacement.
Chen FU ; Qiaoling ZHOU ; Dai SHI ; Xiaojin PAN ; Rao XU ; Houchun CUI ; Mingjian ZHANG ; Ruyu WANG
Clinical Medicine of China 2008;24(11):1156-1158
Objective To explore the reconstructive methods of benign bone tumor defects in proximal joint. Methods Operative treatment was performed in 11 cases with benign bone tumor defects in proximal joint, a-mong whom 4 cases were treated by curettage,cauterization of wall and bone grafting,3 cases were treated by filling branch through segment fibula transplantation with vascular,2 cases were treated by fibula head transplantation with vascular to reconstruct the glenohumeral joint and rediocarpal joint, and 2 cases were treated by artificial joint re-placement. Results The follow-up ranged from 1.5 to 6 years. All of cases got excellent bone unioned without re-lapse and 2 cases of them developed with little limitation in joint function. Conclusion The importance and recon-structive achievement of fibula transplantation in treating the benign bone tumor defects in proximal joint should be thought fully. The indication of artificial tumor prosthesis replacement should be strictly mastered.
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