Use of endoprosthetic diaphyseal replacement: a novel approach to management of extensive metastatic tumor of the midshaft radius.
We report the first use of an endoprosthetic diaphyseal replacement after the excision of a midshaft radial tumor. We present a rare case of a solitary midshaft radial metastasis in a 72-year-old gentleman who was treated 8 years earlier for primary renal cell carcinoma by radical nephrectomy. Follow-up for this patient was 25 months after implant insertion and at the latest review was pain-free. Functional scores for the elbow (using the Mayo Elbow Performance Score) and the wrist (using the Mayo Wrist Score) were 80 and 60, respectively, both out of 100. Use of a midshaft radial endoprosthesis provides a good functional outcome and symptom relief after extensive tumor resection, with regard to functional outcome and symptom relief.
Macmull
Simon
S
Royal National Orthopaedic Hospital, Middlesex, UK. simonmacmull@hotmail.com
Gokaraju
Kishan
K
Miles
Jonathan
J
Blunn
Gordon W
GW
Cannon
Steve R
SR
Briggs
Tim W
TW
D000368:Aged; D001859:Bone Neoplasms / Q000556:secondary / Q000601:surgery*; D002292:Carcinoma, Renal Cell / Q000556:secondary / Q000601:surgery*; D018483:Diaphyses / Q000601:surgery; D005598:Fractures, Spontaneous / Q000601:surgery*; D006801:Humans; D007680:Kidney Neoplasms / Q000473:pathology / Q000601:surgery*; D008297:Male; D009392:Nephrectomy; D019736:Prostheses and Implants; D019919:Prosthesis Implantation / Q000379:methods*; D011884:Radius / Q000293:injuries / Q000601:surgery*; D011885:Radius Fractures / Q000601:surgery*