Oncologic reconstruction of the proximal humerus with a reverse total shoulder arthroplasty megaprosthesis

Journal of Surgical Oncology
Timothy W GroselJonathan D Barlow

Abstract

Both malignant and benign tumors of the proximal humerus may necessitate resection of a substantial portion of the proximal humerus, making reconstruction options challenging. While hemiarthroplasty has been a classic treatment, reverse total shoulder replacement may provide better pain relief and function for these patients. We utilize a two-surgeon approach for these challenging cases. The orthopedic oncologist resects the tumor. A shoulder-trained surgeon implants the reverse shoulder replacement. Modern implants, with large glenospheres and modular components, can allow reliable, straightforward reconstructions for these patients. We prefer 6 weeks of postoperative immobilization to decrease the risk of instability. We have completed 13 reverse total shoulder replacements for oncologic shoulder resections, with acceptable clinical outcomes and no complications to date. Reverse total shoulder replacement with long-stem, modular components can reliably and reproducibly reconstruct the shoulder in patients with oncologic resections of the proximal humerus.

References

Sep 25, 2010·International Orthopaedics·Mazda Farshad, Christian Gerber
Nov 19, 2010·International Orthopaedics·Michiel A J van de SandeAntonie H M Taminiau
Jan 29, 2014·Clinical Orthopaedics and Related Research·Teun TeunisSantiago A Lozano-Calderón
Dec 3, 2014·Journal of Shoulder and Elbow Surgery·Brent A PonceMariano E Menendez
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Jan 25, 2016·Current Reviews in Musculoskeletal Medicine·Peter N Chalmers, Jay D Keener
May 26, 2017·The Open Orthopaedics Journal·Mandeep S VirkAnthony A Romeo

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Citations

Mar 10, 2020·Current Reviews in Musculoskeletal Medicine·Harshvardhan Chawla, Seth Gamradt
Nov 28, 2019·Current Reviews in Musculoskeletal Medicine·Caitlin M RuggDrew A Lansdown
Oct 24, 2020·Journal of Surgical Oncology·Matthew T HoudekJoaquin Sanchez-Sotelo
Dec 2, 2020·Journal of Surgical Oncology·Zachary V BraigMatthew T Houdek
Jan 26, 2021·The Journal of the American Academy of Orthopaedic Surgeons·Ryan T VoskuilThomas J Scharschmidt

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