盆腔肿瘤切除后下肢功能的随访检查,包括髋臼环。

E. Olsson
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引用次数: 1

摘要

分析5例骨盆软骨肉瘤包括髋臼环切除患者的步态、髋部肌肉功能及临床特征。下肢因此保持完整。这项研究的目的是将功能结果与两年前的调查结果进行比较。使用相同的测试,但更多地关注功能部分,因此增加了步长,步态速度和活动范围。在两次检查中,没有一个病人感到疼痛。所有人在工作和步态方面的表现都令人惊讶地好。然而,临床和客观结果却不那么令人印象深刻。髋关节伸展强度与手术腿负重、步态速度和最大步行距离有直接关系。此外,伸展强度也与新髋臼顶的形成和个体所代表的年龄有关,尤其是年轻人。与既往检查相比,2例进展明显,2例无变化但仍表现良好,1例表现不佳。
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A follow-up examination of the function of the lower extremity after pelvic tumour extirpation including the acetabular ring.
Gait, hip muscular function and clinical features were analysed in 5 patients with chondrosarcoma of the pelvis operated with removal of the tumour, including the acetabular ring. The lower extremity thus remained intact. The aim of this study was to compare the functional results with those obtained in a previous investigation two years earlier. The same tests were used, but more attention was focussed to the functional part and thus step length, gait velocity, and active range of motion were added. At both examinations none of the patients had pain. All performed surprisingly well as regards work and gait. Clinical and objective findings were, however, less impressive. There was a direct relationship between hip extension strength and weight bearing on the operated leg, gait velocity and maximal walking distance. Moreover, the extension strength was also related to the formation of a new acetabular roof and to the age the individual represented, with preference to the young. Compared with the previous examination, 2 patients had made remarkable progress, 2 were unchanged but still showed good results and one showed less good results.
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