日本マイクロサージャリー学会会誌
Online ISSN : 2185-9949
Print ISSN : 0916-4936
ISSN-L : 2185-9949
症例
肩甲骨烏口突起に発生した軟骨肉腫に対し液体窒素処理骨に血管柄付き骨移植を併用して再建を行った 1 例
竹村 宜記児玉 成人今井 晋二
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ジャーナル 認証あり
電子付録

2018 年 31 巻 4 号 p. 239-244

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There is currently no effective adjuvant therapy for chondrosarcoma, and the operations are basic and only therapeutic. For surgical treatment, wide resection is required, but this leads to marked functional loss and requires reconstruction surgery. For malignant bone tumors located around the glenohumeral joint, total shoulder arthroplasty, resection arthroplasty or amputation is selected. Recently, there have been many reports of reconstruction using autogenous bone devitalized with liquid nitrogen after wide resection of malignant soft and bone tumors. Moreover, the combination of autogenous bone treated by liquid nitrogen and vascularized bone graft has been reported. Vascularized bone grafts are more effective for bone union and regeneration of devitalized bone treated by liquid nitrogen. We used this combined technique for a chondrosarcoma located in the coracoid process. Two years after the operation, the shoulder function was excellent. There were no effects on activities of daily life. This case demonstrated that vascularized iliac bone grafts combined with autogenous bone devitalized by liquid nitrogen for the reconstruction of wide bone and joint defects after resection of bone tumors can provide good postoperative function.

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