Free patellar graft for repair of bone defects of the knee and a half condyle surgical methods.docVIP

 PAGE \* MERGEFORMAT 15 Free patellar graft for repair of bone defects of the knee and a half condyle surgical methods [Abstract] To investigate the patella transplantation on the upper femur or tibia condyle and a half of the treatment of bone defects is proposed surgical procedures and methods. [Method] This group of giant cell tumor of bone in 7 patients, a history of 4 to 12 months, an average of 5  8 months. 4 males and 3 females; age of 18 to 40 years old, with an average age of 31  8. 4 cases of distal femur, proximal tibia in 3 cases, according to Ennecking surgical staging, 2 in 5 cases, 3 in 2 cases. With the articular surface of patella femoral or tibial condyle instead of the joint surface repair and reconstruction of bone defects. [Results] follow-up time of 3 to 10 years, three cases of more than 5 years, with an average 4  9 years. During follow-up without recurrence and metastasis, no patella necrosis and infection, graft healed well. According to the International Society of Limb function score standards, joint function excellent in 3 cases, good in 4 cases. The main complications of joint activities, reducing the scope, range 40 ° ~ 110 ° , an average of 88 ° . Postoperative extensor muscle strength decline was not obvious, 1 case mild subsidence of the tibial plateau, and 1 case after 6 years, there was joint pain. [Conclusion] violation of articular cartilage in the knee up and down giant cell tumor lines, including tumor resection, including the side of the condyle can be used free patellar graft for repair and reconstruction of bone defects. [Keywords:] bone tumor knee patella graft Abstract [Objective] To discuss the clinical results of reconstruction of block bone deficit knee (lower femur and upper tibia) by transplantation of patella and present surgery protocols  [Methods] There were 7 patients who have giant cell tumor of bone in the lower femur or upper tibia at the knee in this report  The case history was from 4 to 1