悪性骨腫瘍に対する患肢温存術の方法とその機能的予後

抄録

Functional results of limb-sparing procedures performed for patients with malignant bone tumors were reviewed. These tumors included metastatic bone tumors in 50 patients, chondrosarcoma in 10 patients, and osteosarcoma in 7 patients. Cases of metastatic bone tumors localized intracompartmentally achieved satisfactory results in pain relief and functional activity by en block tumor resection followed by reconstruction. Patients with tumors around the shoulder continued to have a functional shoulder disability post-operatively. However, elbow and finger functions were retained, and functional ability of the upper extremity was rated as good. In pelvic tumors, good functional results were seen after resections in which femoro-sacral continuity was maintained or reconstructed. Prosthetic implants in the treatment of tumors in the hip lesion lead to a relatively good result.