Proximal humeral reconstruction after excision of a primary sarcoma.
From 1978 to 1991, 19 patients underwent wide resection of the proximal humerus for a primary bone tumor. Reconstructions included intercalary autoclaved autograft and Neer prosthesis composites in 11 patients, intercalary allograft and Neer prosthesis composites in 4 patients, and a Neer prosthesis with methylmethacrylate in 4 patients. All patients were observed for at least 2 years or until death. The functional results and complications of the 19 procedures were evaluated. Function was rated as excellent for 17 patients and good for 2 patients. There were no failures of fixation. Local recurrence occurred in 2 patients. There were 2 cases of recurrent anterior subluxation and 1 of dislocation. Two superficial wound infections were treated successfully with local debridement and antibiotics. The authors conclude that autoclaved autograft or allograft when combined with a long-stem cemented Neer prosthesis offers an excellent composite for proximal humeral reconstruction.
Jensen
K L
KL
Department of Orthopaedic Surgery, University of California, San Francisco 94143-0728, USA.
Johnston
J O
JO
D000293:Adolescent; D000328:Adult; D000368:Aged; D001843:Bone Cements; D001859:Bone Neoplasms / Q000601:surgery*; D016025:Bone Transplantation; D002648:Child; D005260:Female; D006801:Humans; D006811:Humerus; D008297:Male; D020366:Methylmethacrylate; D008768:Methylmethacrylates; D008875:Middle Aged; D011183:Postoperative Complications; D019736:Prostheses and Implants; D012189:Retrospective Studies; D012509:Sarcoma / Q000601:surgery*; D016896:Treatment Outcome
D001843:Bone Cements; D008768:Methylmethacrylates; D020366:Methylmethacrylate