Upper limb salvage with massive intercalary allograft for humeral chondrosarcoma.

Acta ortopedica mexicana Pub Date : 2024-09-01
G Salcedo, A Varela, N Villamues
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Abstract

Introduction: chondrosarcoma is a high-grade malignant tumor composed of mesenchymal cells with cartilage differentiation. It most frequently appears in the bones of the pelvis, the femur, and the humerus. The main management method is oncological resection with wide margins and function-preserving reconstruction. The prognosis depends on the histologic grade and location of the tumor.

Case presentation: we present the case of an adult patient with chondrosarcoma in the right humerus managed in our unit with wide resection and massive allograft reconstruction (limb salvage).

Conclusions: the option of reconstructive surgery could lead to considerable success and minimize the functional, emotional, and aesthetic impairment that an amputation would entail.

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肱骨软骨肉瘤大块闰骨异体移植上肢救治术。
导言:软骨肉瘤是一种由软骨分化的间充质细胞组成的高级别恶性肿瘤。它最常见于骨盆、股骨和肱骨。主要的治疗方法是肿瘤切除术,切除边缘要宽,并进行保留功能的重建。预后取决于肿瘤的组织学分级和位置。病例介绍:我们科室收治了一例右肱骨软骨肉瘤成人患者,对其进行了广泛切除和大面积异体移植重建(肢体挽救)。结论:选择重建手术可以取得相当大的成功,并最大限度地减少截肢带来的功能、情感和美学损伤。
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