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自1986年至今我们采用带血管蒂腓骨就近转位移植,膝关节融合术治疗5例膝部骨巨细胞瘤患者,经随访疗效较为满意。1 临床资料1.1 一般资料 本组5例,女4例,男1例;年龄18～39岁;股骨下端1例,胫骨上端4例;均为骨巨细胞瘤,按Jaffe病理分级,Ⅱ级4例,Ⅲ级1例。均采用带血管蒂腓骨转位移植膝关节融合术,其中胫骨上端巨细胞瘤2例加用股骨下段带腓肠肌蒂骨瓣翻转移位植骨。
Since 1986, we have used a pedicled iliac bone graft for proximal transfer and knee arthrodesis for 5 patients with knee giant cell tumor of the knee. The follow-up results were satisfactory. 1 Clinical data 1.1 General information in this group of 5 patients, 4 females, 1 male; age 18 to 39 years old; 1 case of the lower femur, upper humerus in 4 cases; giant cell tumor of bone, according to Jaffe pathological grade, II 4 Example, Grade 1 in 1 case. All patients were treated with pedicled patella transposition and knee joint fusion. Among them, 2 cases of giant cell tumor of the upper part of the humerus were treated with flip-bone grafting of the lower femur with the gastrocnemius muscle flap.