title: Proximal humeral osteoarticular allografts: technique, pearls and pitfalls, outcomes.
abstract: Allograft transplantation is a biologic reconstruction option for massive bone defects after resection of bone sarcomas. This type of reconstruction not only restores bone stock but it also allows us to reconstruct the joint anatomically. These factors are a major concern, especially in a young and active population.We are describing indications, surgical techniques, pearls and pitfalls, and outcomes of proximal humeral osteoarticular allografts, done at present time in our institution.We found that allograft fractures and articular complications, as epiphyseal resorption and subchondral fracture, are the main complications observed in proximal humerus osteoarticular allograft reconstructions. Nevertheless, only fractures need a reconstruction revision. Joint complications may adversely affect the limb function, but for this reason, an allograft revision is rarely performed.
authors.affiliation: Italian Hospital of Buenos Aires, Potosi 4247, Buenos Aires, Argentina. german.farfalli@hospitalitaliano.org.ar.
authors.forename: German L
authors.initials: GL
authors.lastname: Farfalli
authors.affiliation: Italian Hospital of Buenos Aires, Potosi 4247, Buenos Aires, Argentina. miguel.ayerza@hospitalitaliano.org.ar.
authors.forename: Miguel A
authors.initials: MA
authors.lastname: Ayerza
authors.affiliation: Italian Hospital of Buenos Aires, Potosi 4247, Buenos Aires, Argentina. luis.muscolo@hospitalitaliano.org.ar.
authors.forename: D Luis
authors.initials: DL
authors.lastname: Muscolo
authors.affiliation: Italian Hospital of Buenos Aires, Potosi 4247, Buenos Aires, Argentina. luis.aponte@hospitalitaliano.org.ar.
authors.forename: Luis A
authors.initials: LA
authors.lastname: Aponte-Tinao
keywords: Allograft; Humerus; Osteoarticular