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슬관절 주위 악성 및 침윤성 골종양의 분절 절제술 후 회전 성형술

Other Titles
 Segmental Resection and Rotationplasty of Malignant and Aggressive Bone Tumors Around Knee 
Authors
 한수봉  ;  박홍준  ;  김형식  ;  김성훈  ;  신규호 
Citation
 Journal of the Korean Bone and Joint Tumor Society (대한골관절종양학회지), Vol.7(2) : 51-58, 2001 
Journal Title
 Journal of the Korean Bone and Joint Tumor Society (대한골관절종양학회지) 
ISSN
 1226-4962 
Issue Date
2001
Keywords
슬관절부 ; 골종양 ; 분절 절제 ; 회전성형술
Abstract
Purpose : In patients having malignant and aggressive bone tumors around knee joint requiring amputation, segmental resection and rotationplasty were performed and the clinical results were analyzed. Materials and Methods : Twenty-six patients underwent segmental resection and rotationplasty between February 1988 and June 1994, because limb salvage with tumor prosthesis after removal of tumor was impossible. The mean follow-up of malignant tumors was 57(6~120) months and the average age of patients was 21.4(5~37) years old. Out of 26 patients, there were 18 osteosarcoma(≥stage IIB), 2 synovial sarcoma, and 6 giant cell tumor. Results : Clinical results were evaluated by the Shriner's rating system. Four patients were excluded due to death or amputation and remaining 22 patients were included for assessment. Eighteen patients had excellent result, 3 good, and 1 fair. Range of motion of ankle joint was -11(dorsiflexion)~80(plantarflexion) degrees and daily walking activity with prosthesis was possible. Local recurrence developed in 2 patients and distant metastasis in 10. Early complications had 3 thrombosis and 1 sepsis, and late complications had 6 nonunion, 2 malrotation and 1 stiffness of ankle joint. Conclusion : Rotationplasty which is functionally excellent may serve as an effective partial limb salvage procedure, especially in patients less than 10 years old that lower extremity discrepancy or loosening tumor prosthesis due to enlargement of medullary cavity are anticipated or amputation is inevitable for wide resection margin.
Files in This Item:
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Sung Hun(김성훈)
Kim, Hyoung Sik(김형식) ORCID logo https://orcid.org/0000-0002-9303-4116
Shin, Kyoo Ho(신규호)
Hahn, Soo Bong(한수봉)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/143197
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