腓骨血管重建治疗尺骨远端巨细胞骨肿瘤,一种罕见的治疗方法

Mahmut Kürşat ÖZŞAHİN, Arın CELAYİR, Anıl DEMİRÖZ, Veli Muzaffer Murad HIZ
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摘要

巨细胞骨肿瘤是骨的良性病变,在随访中通常表现为局部侵袭性。巨细胞骨肿瘤最常见的位置是股骨远端干骺端、胫骨近端、桡骨远端和肱骨近端。他们很少转移,手术方法是他们的治疗突出。在手术治疗中,刮除,骨水泥,在一些选定的病例中,可以应用血管腓骨移植物重建。除手术治疗外,denosumab治疗也已付诸实践。在本文中,我们讨论了一位因前臂右尺骨远端巨大骨细胞肿瘤而接受三次手术的患者。我们要讨论的是一个患者,我们做了一个血管腓骨移植重建手术,他在右尺骨做了两次巨细胞骨肿瘤手术,接受了denosumab治疗,术后随访和功能效果都很好。
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Reconstruction with Vascular Fibular Graft for a Patient with Recurrent Giant Cell Bone Tumor in Distal Ulna, a Rare Treatment Option
Giant cell bone tumors are benign lesions of the bone and they usually behave locally aggressive in the follow ups. The most common location of giant cell bone tumor is the metaphysis of distal femur, proximal tibia, distal radius, and proximal humerus. They rarely metastasize, and surgical methods are prominent in their treatment. Among the surgical treatments, curettage, cementation, and in some selected cases, reconstruction with vascular fibula graft can be applied. In addition to surgical treatments, denosumab treatments have also been put into practice. In this article we discuss a patient undergoing 3 surgeries due to giant bone cell tumor in right distal ulna in the forearm. We are going to discuss a patient that we performed a reconstruction operation with vascular fibula graft who had been operated on for giant cell bone tumor in his right ulna twice and received denosumab treatment and had good postoperative follow-up and functional results.
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