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人工肩关节置换.pptVIP

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  • 约2.89千字
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  • 2026-03-10 发布于山东
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人工肩关节置换.ppt

    Reconstructionsoftheshoulderfollowingtumorresection

    WaysofreconstructionsBonecementIliacboneOsteoarticularallograftarthrodesisClaviculaprohumeralreconstructionArthrodesisFreevascularisedfibulagraftProstheticarthroplasty

    ClassificationHemiarthroplasty(humeralheadreplacements)Totalshoulderarthroplasty(TSAglenohumeralreplacements)

    HemiarthroplastyTSAUnconstrainedHemi-constrainedConstrainedBall-cotylaInvertedtype

    CategoriesofboneneoplasmGiantcelltumors(GCT)chondroblastomaChondrosarcomaOsteosarcomaEwing’ssarcomaFibrosarcomaMetastatictumor........

    Ennekingstagesbenigntumor1indolent2active3aggressivemalignanttumorstagegradelocationmetastaticIAlowinnotIBlowoutnotIIAhighinnotIIBhighoutnotIIIanyanyyes

    Malawerclassificationofshouldergirdleresections

    TypeⅠresectionIntra-articularproximalhumeralresectionTypeⅠA:abductorsretainedTypeⅠB:abductorsresected

    Magneticresonanceimaging(MRI)MarginofresectionAmarginof3to4cmdistaltotheMRIextentofthetumorissufficientandallowsatypeⅠAresection

    MarginofresectionConfinedtoboneIntramedullary

    Marginofrese

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