Functional Outcomes and Complications After Oncologic Reconstruction of the Proximal Humerus

The Journal of the American Academy of Orthopaedic Surgeons
Sjoerd P F Th NotaSantiago A Lozano Calderón

Abstract

No consensus exists on the best method of articular reconstruction in patients who require proximal humerus resection for the management of primary bone sarcomas, soft-tissue sarcomas extending into the bone, benign and locally aggressive primary bone tumors, and metastatic disease. We identified patients from two institutions who underwent wide resection of the proximal humerus along with oncologic reconstruction using osteoarticular allografts (OAs), endoprostheses, or allograft-prosthesis composites. We prospectively collected functional outcomes and retrospectively assessed complications and implant survival. A total of 150 patients were included in this study. The average Disabilities of the Arm, Shoulder and Hand questionnaire score was 26 for 25 patients, of which we gathered their functional data, with no differences in physical function among the three constructional methods according to the Disabilities of the Arm, Shoulder and Hand questionnaire, upper extremity Toronto Extremity Salvage Score, upper extremity Musculoskeletal Tumor Society, and Patient-Reported Outcomes Measurement Information System scores. Overall, the survival rate of the prosthesis was >50%. A trend was noted for a higher risk of failure in the O...Continue Reading

References

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Jan 29, 2014·Clinical Orthopaedics and Related Research·Teun TeunisSantiago A Lozano-Calderón
May 7, 2014·The Journal of Hand Surgery·Anne-Carolin DöringDavid C Ring

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Citations

Dec 6, 2018·Journal of Surgical Oncology·Paul T OginkSantiago A Lozano-Calderon
Jun 20, 2020·Journal of Surgical Oncology·Luis C Gómez MierSantiago A Lozano Calderón
Jan 22, 2021·European Journal of Oncology Nursing : the Official Journal of European Oncology Nursing Society·Ana AlmeidaLígia Lima
Sep 4, 2021·Journal of Children's Orthopaedics·Sevan Hopyan

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