The results of total humeral replacement following excision for primary bone tumour.

@article{Puri2012TheRO,
  title={The results of total humeral replacement following excision for primary bone tumour.},
  author={Ajay Puri and Ashish Gulia},
  journal={The Journal of bone and joint surgery. British volume},
  year={2012},
  volume={94 9},
  pages={
          1277-81
        }
}
  • A. PuriA. Gulia
  • Published 1 September 2012
  • Medicine
  • The Journal of bone and joint surgery. British volume
Rarely, the extent of a malignant bone tumour may necessitate resection of the complete humerus to achieve adequate oncological clearance. We present our experience with reconstruction in such cases using a total humeral endoprosthesis (THER) in 20 patients (12 male and eight female) with a mean age of 22 years (6 to 59). We assessed the complications, the oncological and functional outcomes and implant survival. Surgery was performed between June 2001 and October 2009. The diagnosis included… 
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References

SHOWING 1-10 OF 26 REFERENCES

Complex Segmental Elbow Reconstruction After Tumor Resection

Aggressive limb salvage of the humerus or elbow or both provides a satisfactory functional outcome without jeopardizing overall survival.

Total femur replacement: primary procedure for treatment of malignant tumours of the femur.

Resection arthrodesis for primary bone tumour about the knee.

In conclusion, resection-arthrodesis of the knee is a viable treatment option for selected patients with primary bone tumor around the knee, and good functional outcome can be expected in the presence of short-term local complications.

Reconstruction of the proximal humerus after wide resection of tumours.

It is indicated that the use of a tumour prosthesis is the most reliable limb-salvage procedure for the proximal humerus and the clavicula pro humero is an appropriate procedure if a prosthesis cannot be used.

Custom-made endoprosthetic total humerus reconstruction for musculoskeletal tumours

The procedure provides fast recovery and relatively good restoration of elbow function, whereas active shoulder movements remain limited, and represents a viable treatment option in indicated patients, providing reliable and reasonable function of the upper limb, with a low complication rate.

Replacement of the proximal humerus with MUTARS tumor endoprostheses.

Proximal humeral replacement using a fixed-fulcrum endoprosthesis.

Endoprosthetic replacement for tumours of the proximal humerus using this prosthesis is a reliable operation yielding good results without the documented problems of unconstrained prostheses, and is expected to improve further with a new constrained humeral liner, which reduces the risk of dislocation.

Custom-made prosthesis replacement for reconstruction of elbow after tumor resection.

Surgical outcomes in osteosarcoma.

Patients who had undergone limb-salvage surgery and who developed local recurrence still had a better survival than those who had primary amputation, andLimb-salVage surgery with effective chemotherapy remains the optimum treatment for osteosarcoma.

Limb Salvage Surgery for Osteosarcoma: Effective Low-cost Treatment

The preliminary results suggest osteosarcoma can be managed well in a developing country in a cost-effective way and limb salvage surgery has now become the standard of care.