[Allografting for massive bone defect: bone and soft tissue reconstruction and postoperative rehabilitation].
OBJECTIVE
To evaluate the results of limb function and the methods of bone and soft tissue reconstruction of patients treated with allografting.


METHODS
From May 1992 to January 1999, 90 patients suffered from bone malignant tumor were treated with allografting in different methods of internal fixations. The average follow-up was 37.5 months. The limb postoperative function, complications related to different surgical methods were compared according to Enneking evaluation system.


RESULTS
Skin necrosis, infection, non-union, fracture of allograft were the main complications which affect patients' limb postoperative functions. Of the 90 fresh-frozen allografting procedures, the final results of operation showed that hip joints and knee joints were better than the shoulder joints. More than 80% of the patients treated with interlocked intramedullary nail and allograft-prosthesis combination led to an over-all result that was excellent and good. Interlocked intermedullary nail was of recommended method of internal fixation. Early exercises of operative limbs could promote function recovery.


CONCLUSIONS
Using of interlocked intramedullary nail and allograft-prosthesis combination are of recommended operation method and can be applied with better results, and early exercises of operative limbs will lead to better functions.
Liu
J Z
JZ
Department of Orthopedics, Xijing Hospital, Fourth Military Medical University, Xi'an Shanxi, P. R. China 710032. liujz@163.net
Wang
Z
Z
Li
M Q
MQ
D000293:Adolescent; D000328:Adult; D000368:Aged; D001859:Bone Neoplasms / Q000601:surgery*; D016025:Bone Transplantation / Q000009:adverse effects / Q000534:rehabilitation*; D002648:Child; D005260:Female; D006801:Humans; D007596:Joints / Q000502:physiology / Q000637:transplantation*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D019651:Plastic Surgery Procedures / Q000379:methods / Q000534:rehabilitation*; D020127:Recovery of Function; D014182:Transplantation, Autologous; D014184:Transplantation, Homologous