Abstract |
This study assesses function after limb sparing bone tumour resections of the proximal humerus. Twenty-seven patients had an intraarticular resection with reconstruction using an anatomic prosthesis-bone graft composite with average clinical follow-up of 63 years (range: 13-15.8 years). Pain relief was achieved for 22 shoulders (81%); 19 of 25 patients responding (76%) were satisfied. Active elevation averaged 62 degrees, external rotation 25 degrees, and internal rotation to L-4. Complications included instability in 7, nonunion in 4, implant loosening in 3 of these and tumour recurrence in 1. There were 7 reoperations. Using the Neer rating, 19 primary operations (70%) were successful. The Musculoskeletal Tumor Society Score averaged 18.5 (62%), the American Shoulder and Elbow Surgeons functional score 18.4 (37%) with a total score of 51 (51%), and on the Simple Shoulder Test 5.4 of 12 questions were answered affirmatively. This procedure is oncologically safe. There are structural complications, notably shoulder instability. Function ratings are one-third to one-half normal.
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Authors | David E Hartigan, Christian J H Veillette, Joaquin Sanchez-Sotelo, John W Sperling, Thomas C Shives, Robert H Cofield |
Journal | Acta orthopaedica Belgica
(Acta Orthop Belg)
Vol. 78
Issue 4
Pg. 450-7
(Aug 2012)
ISSN: 0001-6462 [Print] Belgium |
PMID | 23019776
(Publication Type: Journal Article)
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Topics |
- Adolescent
- Adult
- Aged
- Bone Neoplasms
(pathology, surgery)
- Bone Transplantation
- Female
- Follow-Up Studies
- Humans
- Humerus
(pathology, surgery)
- Male
- Middle Aged
- Patient Satisfaction
- Prostheses and Implants
- Plastic Surgery Procedures
(methods)
- Treatment Outcome
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