Replacement of the proximal humerus in primary bone tumours

The Australian and New Zealand Journal of Surgery
R L Huckstep, E Sherry

Abstract

Primary bone tumours have traditionally been treated by forequarter amputation. However, recent limb salvage techniques have become available which are comparable for tumour control and preserve a useful distal limb. This report describes the use of the Huckstep ceramic shoulder with ceramic spacers, non-vascularized fibular grafts and Huckstep nail with ceramic spacers. Three techniques are described for the reconstruction of the humerus following primary tumour excision. The seven primary bone tumours in this series included three patients with osteosarcoma, two with chondrosarcoma, one with fibrosarcoma and one with an aneurysmal bone cyst. The mean age of the four males and three females was 27 years (range 18-57). Mean follow up was 8.8 years (range 1-18). The techniques used were the Huckstep ceramic shoulder prosthesis with spacers (three cases), non-vascularized fibular grafts (three cases) and the Huckstep nail with ceramic spacers (one case). One fibular graft required supplementary bone grafting and one patient with a shoulder prosthesis died of metastatic disease. The other five patients are well with a good range of shoulder abduction and external rotation. Limb salvage surgery of the upper limb is possible. Deltoi...Continue Reading

References

Aug 1, 1987·The Journal of Bone and Joint Surgery. British Volume·A C RossJ T Scales

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Citations

Jan 15, 2014·Hospital Pharmacy·Whitney J GoedeRobert R Cima
Mar 4, 2011·The Journal of Bone and Joint Surgery. American Volume·Eric R HendersonG Douglas Letson
May 8, 2001·Cancer Investigation·W S Ferguson, A M Goorin

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