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- W3030544047 abstract "ObjectiveTo investigate the application effect and safety of gastrocnemius myocutaneous flap transfer in the surgery of customized tumor type knee prosthesis replacement in patients with malignant bone tumor of proximal tibia.MethodsA total of 78 patients with malignant bone tumor of the proximal tibia from October 2013 to November 2015 were selected and divided into control group and study group, with 39 cases in each group. The two groups were treated by customized tumor type knee prosthesis replacement. In the study group, the gastrocnemius myocutaneous flap transfer was performed during the operation. The operative condition (operation time, length of tumor resection, intraoperative blood loss, postoperative drainage), complication (subcutaneous fluid, subcutaneous blood accumulation, infection and local skin necrosis) occurred in the near future (within 1 month), and the superior rate of limb function 12 months after operation were compared between the two groups. After 12-24 months of follow-up, the incidence of long-term complications (local recurrence, pulmonary metastases, prosthesis loosening) in the two groups was observed.ResultsThe length of surgery in the study group was longer than that of the control group(P 0.05). The incidence of recent complications in the study group (10.26%) was lower than that of the control group (28.21%, P 0.05).ConclusionsGastrocnemius myocutaneous flap transfer in the surgery of customized tumor type knee prosthesis replacement in patients with malignant bone tumor of proximal tibia will prolong operation time to a certain extent, but the postoperative limb function recovery is better. It has fewer complications and high safety in recent period, and good long-term prognosis can be achieved.Key words: Gastrocnemius myocutaneous flap transfer; Malignant bone tumor of proximal tibia; Customized tumor type knee prosthesis replacement" @default.
- W3030544047 created "2020-06-05" @default.
- W3030544047 creator A5071560765 @default.
- W3030544047 date "2018-07-25" @default.
- W3030544047 modified "2023-10-03" @default.
- W3030544047 title "Application of gastrocnemius myocutaneous flap transfer in the surgery of customized tumor type knee prosthesis replacement in patients with malignant bone tumor of proximal tibia" @default.
- W3030544047 doi "https://doi.org/10.3760/cma.j.issn.1674-4756.2018.14.011" @default.
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