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1桡骨远端肿瘤切除后的重建方式显示文摘狭义的腕关节又称为桡腕关节,由桡骨远端关节面和尺骨头下方的关节盘(三角纤维软骨)远侧面做关节窝,近排腕骨包括手舟骨、月骨和三角骨的近侧面做关节头,是典型的椭圆关节。桡腕关节周围没有肌肉覆盖,其关节囊菲薄,各方均由韧带加强,包括桡腕掌侧韧带、桡腕背侧韧带、腕桡侧副韧带、腕尺侧副韧带,以上结构成为保持桡腕关节完整的组织。王涛 牛晓辉 2009中国骨肿瘤骨病2009,8,6:4
2逆行交锁髓内钉动力化治疗股骨同种异体骨移植术后骨不愈合一例报道及文献回顾(英文)显示文摘Intercalary allograft reconstruction offers a joint-sparing reconstructive option,but nonunion is a devastating complication.In this article,we want to share our experience of proper dynamization of interlocking intramedullary nail for nonunion after proximal femoral intercalary allograft reconstruction.In this report,a 19-year-old girl was diagnosed proximal femoral fibroblast osteosarcoma(Enneking IIb).After neoadjuvant chemotherapy,she underwent proximal femoral intercalary allograft reconstruction fixed by retrograde interlocking intramedullary nail.At her follow-up point of one year postoperatively,nonunion was observed in the proximal host-allograft junction.Therefore she underwent the second surgery of dynamization of the interlocking intramedullary nail.After 12 months' partial and full weight bearing exercise,bone union occurred.Our early observations show that dynamization of interlocking intramedullary nail can still be a useful means to treat nonunion of hostallograft junction if the local condition of the host and allograft bone are good enough.Li Min Jing Peng Hong Duan Hui Zhang Weiya Wang Chongqi Tu 2013The Chinese-German Journal of Clinical Oncology2013,12,3:1
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