頁籤選單縮合
題 名 | Curettage and Cementation for Advanced Giant Cell Tumor of Long Bone--A Two to Twelve-Year Follow-Up Study |
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作 者 | 王俊聞; 劉華山; | 書刊名 | 中華民國骨科醫學會雜誌 |
卷 期 | 16:1 1999.03[民88.03] |
頁 次 | 頁69-75 |
分類號 | 416.66 |
關鍵詞 | Curettage; Cementation; Giant-cell tumor; Pathologic fracture; High-speed burring; |
語 文 | 英文(English) |
英文摘要 | Giant-cell tumor without extensive destruction of long bone can be success-fully treated with curettage followed by bone grafting or acrylic cementation. However, if the tumor is advanced which means it has subchondral bone destruction, soft tissue extension, recurred after curettage or was associated with a pathologic fracture, a dilemma of treatment option between local curet-tage and wide resection occurs. Fifteen patients with an advanced benign giant-cell tumor of long bone had curettage, high-speed burring and cementation. Five patients had a pathologic fracture and 4 were recurrent lesions, others were associated with either soft tis-sue extension or subchondral bone destructin. Internal fixation was used in 8 patients, 5 for pathologic fracture and 3 for impending fracture. At an average follow-up period of 66 months (30 to 144 months), two patients had a recur-rence. One tibial recurrence was successfully treated by second curettage and one radial recurrence necessitated a wide resection. Other complications includ-ed nonunion of the fracture in one patient and decreased range of knee motion in another. Twelve patients had excellent functional results and 3 had good results. Advanced giant-cell tumor of the long bone can be successfully treated with curettage, burring and cementation if it is technically feasible. |
本系統中英文摘要資訊取自各篇刊載內容。