title: Allograft reconstruction of the distal humerus after resection of a breast solitary metastasis: eleven years follow-up.
abstract: Resection is a rare indication for the treatment of solitary skeletal metastasis (SSM), and provides an opportunity to cure the oncologic patient. Reconstruction after resection can imply a difficult problem depending on the size and the location of the metastasis. In the reported case, an en-bloc resection of a SSM of a breast cancer located in the distal humerus was performed in 1990. Reconstruction of the osteoarticular defect has been achieved with a massive allograft. At eleven years follow-up the patient remains free of illness and shows a good functional result. With the result obtained in the reported case, we suggest that osteoarticular allograft can be of considerable value for reconstruction after excision of SSM in the distal humerus, and that cure can be achieved with the radical resection of a SSM of breast cancer.
authors.affiliation: University of Barcelona, Musculoskeletal Oncology Unit. Department of Orthopedic Surgery. Institut Clínic de l'Aparell Locomotor. Bone Bank. Hospital Clínic, Villarroel 170, Barcelona, 08036, Spain(jafernan@clinic.ub.es)
authors.forename: J A
authors.initials: JA
authors.lastname: Fernández-Valencia
authors.forename: A
authors.initials: A
authors.lastname: Combalía
authors.forename: S
authors.initials: S
authors.lastname: García
authors.forename: J M
authors.initials: JM
authors.lastname: Segur
authors.forename: S
authors.initials: S
authors.lastname: Suso