title: A successful reconstruction using a frozen autograft and a pedicled latissimus dorsi flap after a S12345B shoulder girdle resection in a patient with osteosarcoma.
abstract: We present a case of high-grade osteosarcoma in the proximal humerus in an 8-year-old boy. Massive tumor expansion required a S12345B shoulder girdle resection according to the system of the Musculoskeletal Tumor Society. After wide resection, only a small portion of the distal humerus and none of the rotator cuff muscles would be spared. Because the humeral portion would be too short to support the stem and the soft tissue would be insufficient to cover prosthetic components, we designed a composite reconstruction using a frozen autograft and a pedicled muscle flap. At 2 years postoperatively, our patient exhibited good adaptation and had acquired fine dexterity of the upper limb. To our knowledge, this is the first report regarding a successful composite reconstruction after a S12345B shoulder girdle resection.
authors: Department of Orthopedic Surgery, Health Management and Policy, Nara Medical University School of Medicine, Nara, Japan.
authors: Takamasa
authors: T
authors: Shimizu
authors: Akira
authors: A
authors: Kido
authors: Kanya
authors: K
authors: Honoki
authors: Keiichi
authors: K
authors: Murata
authors: Hiromasa
authors: H
authors: Fujii
authors: Banryoku
authors: B
authors: Higuchi
authors: Takashi
authors: T
authors: Ishihara
authors: Yasufumi
authors: Y
authors: Takeshita
authors: Midori
authors: M
authors: Shima
authors: Hiroshi
authors: H
authors: Yajima
authors: Manabu
authors: M
authors: Akahane
authors: Yasuhito
authors: Y
authors: Tanaka
mesh_terms: D001859:Bone Neoplasms / Q000473:pathology / Q000601:surgery*; D002648:Child; D015925:Cryopreservation / Q000379:methods*; D005500:Follow-Up Studies; D006801:Humans; D006811:Humerus / Q000473:pathology / Q000601:surgery; D007564:Japan; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D018482:Muscle, Skeletal / Q000473:pathology / Q000601:surgery; D009361:Neoplasm Invasiveness / Q000473:pathology; D009367:Neoplasm Staging; D012516:Osteosarcoma / Q000473:pathology / Q000601:surgery*; D010369:Pectoralis Muscles / Q000601:surgery / Q000637:transplantation*; D016059:Range of Motion, Articular / Q000502:physiology; D019651:Plastic Surgery Procedures / Q000379:methods*; D020127:Recovery of Function; D018570:Risk Assessment; D012540:Scapula / Q000473:pathology / Q000601:surgery; D012785:Shoulder Joint / Q000473:pathology / Q000601:surgery*; D013524:Surgical Flaps / Q000098:blood supply*; D014182:Transplantation, Autologous; D016896:Treatment Outcome