Bone and soft tissue sarcomas, tumors of the skin

Саркомы костей, мягких тканей и опухоли кожи

2219-46142782-3687

Publishing House ABV Press

449

BONE SARCOMAS

САРКОМЫ КОСТЕЙ

Intercalary diaphyseal endoprosthetic reconstruction for malignant bone tumors

Эндопротезирование диафизарных дефектов при опухолях костей

Sushentsov

E. A.

Сушенцов

Е. А.

Russian Federation

Moscow

г. Москва

crespine@rambler.ru

Sokolovsky

V. A.

Соколовский

В. А.

Russian Federation

Moscow

г. Москва

Kabardaev

R. M.

Кабардаев

Р. М.

Russian Federation

Moscow

г. Москва

Dzampaev

A. Z.

Дзампаев

А. З.

Russian Federation

Moscow

г. Москва

Kubirov

M. S.

Кубиров

М. С.

Russian Federation

Moscow

г. Москва

Nikolaev

A. P.

Николаев

А. П.

Russian Federation

Moscow

г. Москва

N.N. Blokhin Russian Cancer Research CenterФГБНУ «Российский онкологический научный центр им. Н.Н. Блохина»

25112014

63-4

20252401202224012022

2014

Sushentsov E.A., Sokolovsky V.A., Kabardaev R.M., Dzampaev A.Z., Kubirov M.S., Nikolaev A.P.

Сушенцов Е.А., Соколовский В.А., Кабардаев Р.М., Дзампаев А.З., Кубиров М.С., Николаев А.П.

https://creativecommons.org/licenses/by/4.0

https://sarbon.abvpress.ru/jour/article/view/449

The best method of reconstruction after resection of malignant tumors of the bone diaphysis is unknown. We present a retrospective review of 19 patients who underwent limb salvage using a bone diaphyseal endoprosthetic replacement following excision of a bone tumor. Complications included aseptic loosening in six patients, progression diseases in two and one local recurrence. Six patients required revision surgery. rates of complication and revision were high, but diaphyseal replacement following resection of bone tumors enables early return to function, additional adjuvant treatment and provides an alternative to other surgical options, without apparent compromise of patient survival.

Оптимальный метод реконструкции диафизарных дефектов при опухолях костей в настоящий момент не найден. В исследовании представлен ретроспективный анализ лечения 19 пациентов, которым выполнялось эндопротезирование диафизарных отделов костей при опухолевых поражениях. Осложнения включали в себя: асептическую нестабильность у 6 больных, прогрессирование у 2 больных, у 1 рецидив заболевания. 6 пациентам выполнены ревизионные операции. Несмотря на высокую частоту осложнений и ревизионных операций, эндопротезирование позволяет в ранние сроки активизировать пациента, проводить адъювантное лечение и является альтернативой для других методов реконструкции без ущерба для онкологического прогноза.

tumor of bonediaphyseal endoprosthetic reconstruction

опухоли костейэндопротезирование диафизарных дефектов

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