※一部利用できない機能があります
Over 10-year follow-up of functional outcome in patients with bone tumors reconstructed using distraction osteogenesis
- フォーマット:
- 論文
- 責任表示:
- Watanabe, Koji ; Tsuchiya, Hiroyuki ; Yamamoto, Norio ; Shirai, Toshiharu ; Nishida, Hideji ; Hayashi, Katsuhiro ; Takeuchi, Akihiko ; Matsubara, Hidenori ; Nomura, Issei
- 言語:
- 英語
- 出版情報:
- 日本整形外科学会 = Japanese Orthopaedic Association / Springer, 2013-01-01
- 著者名:
Watanabe, Koji Tsuchiya, Hiroyuki Yamamoto, Norio Shirai, Toshiharu Nishida, Hideji Hayashi, Katsuhiro Takeuchi, Akihiko Matsubara, Hidenori Nomura, Issei - 掲載情報:
- Journal of Orthopaedic Science
- ISSN:
- 0949-2658
- 巻:
- 18
- 通号:
- 1
- 開始ページ:
- 101
- 終了ページ:
- 109
- バージョン:
- publisher
- 概要:
- Background: The aim of this study was to investigate the long-term functional capabilities of patients who underwent bone distraction for the treatment of bone defects caused by bone tumor excision. Methods: Bone distraction was indicated for patients with stage IIB malignant bone tumors when chemotherapy was judged to be effective and an epiphysis could be preserved or for patients with low-grade or aggressive benign bone tumors. Twenty-two patients who … underwent reconstruction with bone distraction and were followed up for at least 10 years were retrospectively investigated. Patients included 8 males and 14 females, with a mean age of 25.3 years. Tumor types included seven osteosarcomas, two osteofibrous dysplasias, one Ewing's sarcoma, five low-grade osteosarcomas, two adamantinomas, and five giant cell tumors. Chemotherapy was performed during bone distraction in 8 cases. Bone transport was used in 17 cases, while shortening distraction was used in 5 cases. Results: The mean distraction length was 8.1 cm, and the mean external fixation period was 301 days. The average Musculoskeletal Tumor Society score (used to measure functional outcome) was 91.5 % at mean follow-up of 202 months. Fourteen patients were able to play sports without any difficulty. Conclusions: Epiphyseal preservation and reconstruction by bone distraction require both time and effort, but can provide excellent long-term outcomes, resulting in a stable reconstruction that functionally restores the natural limb. © 2012 The Japanese Orthopaedic Association. 続きを見る
- URL:
- http://hdl.handle.net/2297/32836
類似資料:
Japanese Orthopaedic Association 日本臨床整形外科学会 / Springer Verlag |
Spandidos Publications |
Springer Verlag (Germany) / The Japanese Orthopaedic Association | |
Japanese Orthopaedic Association 日本整形外科学会 / Springer Verlag (Germany) |
Japan Society of Clinical Oncology = 日本癌治療学会 / Springer Verlag (Germany) |
American College of Foot and Ankle Surgeons / Elsevier |
日本整形外科学会 = Japanese Orthopaedic Association / Springer |
Lippincott, Williams & Wilkins |