Mesh : Humans Child Male Fibula / transplantation surgery Female Sarcoma, Ewing / surgery Bone Neoplasms / surgery Humerus / surgery Bone Transplantation / methods Bone Cysts, Aneurysmal / surgery diagnostic imaging Plastic Surgery Procedures / methods

来  源:   DOI:10.2106/JBJS.CC.23.00539

Abstract:
METHODS: We describe 2 case studies, involving a 10-year-old girl with an aneurysmal bone cyst and a 12-year-old adolescent boy with Ewing sarcoma. The patient with Ewing sarcoma was previously managed with wide surgical excision and fibular graft reconstruction and subsequently experienced significant graft resorption, hardware failure, and fracture 24 months after operation. A revision limb salvage attempt was undertaken. In both cases, fibular strut grafts were harvested and fixed with intramedullary k-wires to recreate the medial and lateral columns of the distal humeral triangle.
CONCLUSIONS: The technique achieved complete osseous integration, structural support, and functional restoration of the elbow in both cases, with good functional outcomes.
摘要:
方法:我们描述了2个案例研究,涉及一名10岁女孩动脉瘤样骨囊肿和一名12岁青少年男孩尤因肉瘤。Ewing肉瘤患者先前接受了广泛的手术切除和腓骨移植物重建,随后经历了明显的移植物吸收。硬件故障,术后24个月骨折。进行了翻修肢体抢救尝试。在这两种情况下,收集腓骨支柱移植物并用髓内k线固定,以重建肱骨远端三角形的内侧和外侧柱。
结论:该技术实现了完整的骨整合,结构支撑,在这两种情况下,肘部的功能恢复,具有良好的功能结果。
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