Custom mega-prosthetic replacement for proximal humeral tumours.
We used custom mega-prostheses in 57 patients with aggressive benign and malignant tumours of the proximal humerus. The most common tumour was osteosarcoma, followed by giant cell tumour and chondrosarcoma. We achieved extra-articular and wide resection margins in all primary malignant tumours and narrow margins in benign and metastatic tumours. Six patients died of disease, 4 patients developed local recurrences and 43 were continuously disease free at an average follow-up of 5.5 years (range 2-14.5 years). Five patients required revision replacements. The most common complications were proximal subluxation and aseptic loosening. Functional outcome was satisfactory in 78% of cases.
Department of Orthopaedics & Traumatology, Madras Medical College & Research Institute, Government General Hospital, Chennai 600 003, India. drmayil@bonetumour.org
N
N
Mayilvahanan
M
M
Paraskumar
A
A
Sivaseelam
S
S
Natarajan
D000293:Adolescent; D000328:Adult; D000368:Aged; D001859:Bone Neoplasms / Q000628:therapy*; D018786:Bone Substitutes; D002648:Child; D018572:Disease-Free Survival; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006811:Humerus / Q000473:pathology*; D008297:Male; D008875:Middle Aged; D009362:Neoplasm Metastasis; D012516:Osteosarcoma / Q000628:therapy; D011474:Prosthesis Design; D016896:Treatment Outcome
D018786:Bone Substitutes