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  fibula
Resection of the so-called fibular cord in congenital absence of fibula
      
The surgical exploration revealed a compression of the common peroneal nerve obviously due to a muscular herniation of the gastrocnemius near the head of the fibula, measuring about 1 inch in diameter.
      
With operative treatment, exact reconstruction of the articular surface, restoration of the length and rotational alignment of the fibula and fixation of osseous or ligamentous syndesmotic injuries are important prognostic factors.
      
Evaluation der Stellung der distalen Fibula nach geschlossener Reposition und Stellschraubenplatzierung mit intraoperativer drei
      
Die Peronealsehnenloge wird durch einen kn?chernen Verschiebespan aus der distalen Fibula nach dorsal überdacht.
      
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  fibular
Resection of the so-called fibular cord in congenital absence of fibula
      
Resection of the distal radius for tumors and arthroplasty with fibular autograft
      
Possible injury to the branches of the peroneal nerve during fibular osteotomies
      
The muscle branch for the extensor hallucis longus muscle is particularly at risk during the fibular osteotomy since it runs directly on the bone.
      
Technic and diagnostic value of so-called stress-x-rays in injuries of the fibular ligaments
      
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AbstractFrom February 1980 to March 1989,a total of 39cases of massive bone defects preduced followin8 bone tu-mor resections were repeired by microsurgical technique. There were 20 ben1gn and 19 mailgnant bone tumors. The surgical procedures consisted of anastomotic and vasculartdisedicle bone grafts,j.e,fibula grafts in 26 cases andiliac bone grafts in 1 3 cases.Chemotherapy was done forthe cases with the malign ant bone tumors.All were fol-lowed up from 2~9years with an average of 4.5 years. The successful...

AbstractFrom February 1980 to March 1989,a total of 39cases of massive bone defects preduced followin8 bone tu-mor resections were repeired by microsurgical technique. There were 20 ben1gn and 19 mailgnant bone tumors. The surgical procedures consisted of anastomotic and vasculartdisedicle bone grafts,j.e,fibula grafts in 26 cases andiliac bone grafts in 1 3 cases.Chemotherapy was done forthe cases with the malign ant bone tumors.All were fol-lowed up from 2~9years with an average of 4.5 years. The successful results were seen in 37 cases(94.8%). The two years survival rate of the cases with malignanttumors was 89.4%. The grafted bone healed up from 2.5to3.5 months after the operation.

自1980年2月~1989年3月应用显微外科技术治疗四肢骨肿瘤切除后大块骨缺损共39例。其中良性骨肿瘤20例,恶性19例。吻合血管的腓骨移植22例,髂骨移植6例;带血管蒂的腓骨移植4例,髂骨移植7例。术后随访时间2~9年。结果成功37例,恶性骨肿瘤术后局部复发行截肢1例,肺转移死亡1例,成功率为94.8%。骨愈合时间较传统的骨移植缩短,平均为2.8个月。恶性骨肿瘤术后两年以上无瘤存活率达89.4%。

Abstract From August 1990

总结了1990年8月~1993年7月共30例下肢骨肉瘤区域高温隔离灌注化疗病人,男19例、女11例,年龄平均21岁。肿瘤部位:股骨下端20例、胫骨上端9例、腓骨1例。隔离灌注化疗60分钟,肿瘤缘深部组织温度保持在42℃。结果:全部患者灌注后局部肿胀明显减退,肿块收缩,质地变硬。二周内患肢周径减少,关节活动度增加。病理检查,瘤体坏死率达90%~95%。引起并发症为2例骨筋膜综合征,1例急性肾衰。作者认为,这是一项有效的治疗手段。

AbstractLimb-salvage surgery plays an important role inthe treatment of osteosarcoma. From 1974 to 1993,104 patients with osteosarcoma were treated in ourdepartment.Sixty of them were treated with limb-sal-vage procedures. In fourty-four patients of stage Ⅱ Breceiving adjuvant chemotherapy,the five-year sur-vival rate was 46.69%,The overall local recurrencerate was 15%. The infection rate was 12.9%,and me-chanical complication occurred in 14.8%of the pa-tients. The functional result was generally good.Im-proved...

AbstractLimb-salvage surgery plays an important role inthe treatment of osteosarcoma. From 1974 to 1993,104 patients with osteosarcoma were treated in ourdepartment.Sixty of them were treated with limb-sal-vage procedures. In fourty-four patients of stage Ⅱ Breceiving adjuvant chemotherapy,the five-year sur-vival rate was 46.69%,The overall local recurrencerate was 15%. The infection rate was 12.9%,and me-chanical complication occurred in 14.8%of the pa-tients. The functional result was generally good.Im-proved concepts of en bloc resection and better recon-structive techniques suggest that limb-salvage pro-cedures are not only possible but can provide excellentfunctional result in patients with osteosarcoma. Fur-ther work must be directed to reducing local recurrenceand improving reconstructive techniques.

1974年1月~1993年12月,作者共收治骨肉瘤患者104例,其中60例行保留患肢治疗。术式采用肿瘤大块切除,其中行人工关节置换者54例,血管吻合自体腓骨移植者3例,肿瘤局部切除者3例。施行大剂量综合化疗48例,其中ⅡB期骨肉瘤44例,5年生存率为44.69%。总的局部发生率为15%,感染率为12.9%,人工关节机械合并症为14.8%,人工关节功能良好率为64.81%。今后努力的方向是提高生存率,降低局部复发率,改进人工关节。

 
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