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自1993年以来,应用带同侧比目鱼肌或股二头肌蒂腓骨段转位,治疗股骨下端、胫骨上端肿瘤切除后骨缺损6例。除1例近期手术者外,其余5例随访4~29个月,中位18个月,全部骨愈合。除1例受区为灭活骨外,其余4例在术后8周均见大量骨痂生长。这种骨连接的速度与不带血供的移植骨无法比拟。本法的优点是:转位的腓骨营养丰富,操作简单,便于推广,但使用范围尚有一定限制。
Since 1993, 6 cases have been treated with the metatarsal sole muscle or the biceps femoris segment of the biceps femoris to treat the defect of the lower femur and the upper humerus after resection of the tumor. Except for 1 case of recent surgery, the remaining 5 cases were followed up for 4 to 29 months, and the median position was 18 months. All bones healed. Except for 1 case of inactivated bone, the remaining 4 cases showed a large number of callus growth at 8 weeks postoperatively. The speed of this bone connection is incomparable with that of a bone graft without blood supply. The advantage of this method is that the transposed sacrum is rich in nutrients, simple in operation, and easy to popularize, but there are certain limitations in the scope of use.