A Case of H. P. O. A. Secondary to Above Knee Amputation Due to Osteosarcom

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This case report include possible metastatic lung cancer and associatec H. P. O. A. after above knee amputation due to osteosarcoma.The case is a 34 years old male.Chief complaint: clubbed fingersPresent history: The patient noticed swelling of the left knee and limp since November 1969 and was visited our clinic on January 5 1970. The diagnosis of osteosarcoma of left femur was made, and above knee amputation was performed.On July 8, 1970 chest X-ray showed questionable lung metastasis and was admitted to the department of first internal medicine. X-ray survery of whole body was done. New periosteal bone thickening of 0.5mm to 2.0mm was found in diaphysis of tibia, radius, ulna, metacarpal, metatarsal and phalanx. Examination of blood chemistry showed no abnormality in liver function.However there were decreased albumin level in serum and slight depression of pulmonary functions. In the measurement of clubbed fingers, there was apparent hypertrophy of distal phalanx as compared to healthy person.
西日本整形・災害外科学会の論文