反肩关节假体在肱骨近端肿瘤切除后重建的疗效分析

发布时间：2018-05-07 16:07

本文选题：肱骨近端 + 肿瘤　；参考：《浙江大学》2015年硕士论文

【摘要】：目的：反肩关节假体的出现为肱骨近端肿瘤切除后重建提供了一种新选择,本文通过回顾性分析我院2年内收治的使用反肩关节假体治疗的肱骨近端肿瘤病例,分析其手术方式、并发症、术后功能等。方法：收集我院骨科肿瘤病区在2013年1月至2014年12月收治的临床诊断为肱骨近端肿瘤,并通过反肩关节假体置换治疗的病例资料共8例,男性3例,女性5例,年龄25～61岁,平均38岁,软骨肉瘤2例,侵袭性骨巨细胞瘤6例。均行反肩关节(Zimmer Trabecular MetalTM)置换术治疗。评价其并发症、术后功能评分等,分析疗效。结果：患者随访3～26月,平均13月,所有患者均未出现肿瘤复发,无关节脱位及假体松动。术后功能根据肌肉骨骼肿瘤评分系统(MSTS=Musculoskeletal Tumor Society score)评分为88%～95%,平均92%,主动外展为100°～175°,平均为155°,主动前屈为115°～170°,平均为150°。结论：反肩关节置换治疗肱骨近端肿瘤术后近期功能良好,这种重建方式特别适合于肩袖切除的病例,其前提是三角肌功能的保留。反肩关节置换是肱骨近端肿瘤切除后重建的理想方式。
[Abstract]:Objective: the appearance of reverse shoulder prosthesis provides a new choice for reconstruction of proximal humerus tumor after resection. We retrospectively analyzed the cases of proximal humerus tumor treated with antihumeral prosthesis in our hospital within 2 years. The operative methods, complications and postoperative functions were analyzed. Methods: the clinical data of 8 patients with proximal humerus tumors admitted from January 2013 to December 2014 in our orthopedic tumor area were collected and treated by reverse shoulder prosthesis replacement. There were 3 males and 5 females aged 2561 years. The mean age was 38 years, 2 cases of chondrosarcoma and 6 cases of invasive giant cell tumor of bone. All patients were treated with Trabecular Trabecular replacement. To evaluate the complications, postoperative functional score, and analyze the curative effect. Results: all the patients were followed up for 3 ~ 26 months (mean 13 months). No recurrence of tumor, no dislocation of joint and loosening of prosthesis were found in all patients. According to the musculoSkeletal Tumor Society score) scoring system of musculoskeletal tumors, the postoperative function was 88 / 95 (mean 92 / 95), the active abduction was 100 掳/ 175 掳, the average was 155 掳, the active anterior flexion was 115 掳/ 170 掳and the average was 150 掳. Conclusion: the short term function of reverse shoulder replacement for proximal humerus tumor is good. This reconstruction method is especially suitable for patients with rotator cuff resection, and the premise is the preservation of deltoid muscle function. Reverse shoulder replacement is an ideal method for reconstruction after resection of proximal humerus tumor.
【学位授予单位】：浙江大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R738.1

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