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Published in: World Journal of Surgical Oncology 1/2012

Open Access 01-12-2012 | Case report

Total humerus replacement for osteosarcoma with proximal part of humerus: a case report

Authors: Yukihiro Yoshida, Yasuaki Tokuhashi

Published in: World Journal of Surgical Oncology | Issue 1/2012

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Abstract

Incisional biopsy and intramedullary pinning were performed for pathological fracture associated with a malignant bone tumor of the proximal humerus. Osteosarcoma, for which preoperative chemotherapy had been performed, was confirmed by postoperative pathological examination. To achieve wide resection and acquire a safe resected margin, total humerus replacement was performed, and the whole humerus was reconstructed using the Howmedica Modular Reconstruction system. The patient resumed normal activities, although mild contracture of the elbow joint remains 8 years after surgery.
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Literature
1.
go back to reference JOA Musculoskeletal tumor committee. Bone Tumor Registry in Japan. National Cancer Center. 2008 JOA Musculoskeletal tumor committee. Bone Tumor Registry in Japan. National Cancer Center. 2008
2.
go back to reference Unni KK, Inwards CY: Dahlin's Bone Tumors. Lippincott Wilianms&Wilikins. 2010, Sixth Unni KK, Inwards CY: Dahlin's Bone Tumors. Lippincott Wilianms&Wilikins. 2010, Sixth
3.
go back to reference Yarmish G, Klein MJ, Landa J, Lefkowitz RA, Hwang S: Imaging characteristics of primary osteosarcoma: nonconventional subtypes. Radiographics. 2010, 30 (6): 1653-672. 10.1148/rg.306105524.CrossRefPubMed Yarmish G, Klein MJ, Landa J, Lefkowitz RA, Hwang S: Imaging characteristics of primary osteosarcoma: nonconventional subtypes. Radiographics. 2010, 30 (6): 1653-672. 10.1148/rg.306105524.CrossRefPubMed
4.
go back to reference Fabroni RH, Castago A, Aguilera AL, Steverlynck AM, Zeballous J: Long -term results of limb salvage with the Fabroni custom made endoprosthesis. Clin Orhtop Relat Res. 1999, 35 (8): 41-52. Fabroni RH, Castago A, Aguilera AL, Steverlynck AM, Zeballous J: Long -term results of limb salvage with the Fabroni custom made endoprosthesis. Clin Orhtop Relat Res. 1999, 35 (8): 41-52.
5.
go back to reference Ross AC, Sneath RS, Scales JT: Endoprosthetic replacement of the humerus and elbow joint. J Bone Joint Surg [Br]. 1987, 69-B: 652-55. Ross AC, Sneath RS, Scales JT: Endoprosthetic replacement of the humerus and elbow joint. J Bone Joint Surg [Br]. 1987, 69-B: 652-55.
6.
go back to reference Mankin HJ, Doppelt SH, Sullivan TR, Tomford WW: Osteoarticular and intercalary allograft transplantation in the management of malignant tumors of bone. Cancer. 1982, 50: 613-30. 10.1002/1097-0142(19820815)50:4<613::AID-CNCR2820500402>3.0.CO;2-L.CrossRefPubMed Mankin HJ, Doppelt SH, Sullivan TR, Tomford WW: Osteoarticular and intercalary allograft transplantation in the management of malignant tumors of bone. Cancer. 1982, 50: 613-30. 10.1002/1097-0142(19820815)50:4<613::AID-CNCR2820500402>3.0.CO;2-L.CrossRefPubMed
7.
go back to reference Mankin HJ, Gebhardt MC, Jennings LC, Springfield DS, Tomford WW: Long-term results of allograft replacement in the management of bone tumors. Clin Orthop Relat Res 324. 1996, 86-97. Mankin HJ, Gebhardt MC, Jennings LC, Springfield DS, Tomford WW: Long-term results of allograft replacement in the management of bone tumors. Clin Orthop Relat Res 324. 1996, 86-97.
8.
go back to reference Muramatsu K, Fukano R, Iwanaga R, Taguchi T: Reconstruction of the proximal humerus by combined use of extracorporeally-irradiated osteochondral graft and free vascularized fibula following resection of Ewing sarcoma. Journal of Plastic, Reconstructive &Aesthetic Surgery. 2010, 63: 2177-180. 10.1016/j.bjps.2010.03.008.CrossRef Muramatsu K, Fukano R, Iwanaga R, Taguchi T: Reconstruction of the proximal humerus by combined use of extracorporeally-irradiated osteochondral graft and free vascularized fibula following resection of Ewing sarcoma. Journal of Plastic, Reconstructive &Aesthetic Surgery. 2010, 63: 2177-180. 10.1016/j.bjps.2010.03.008.CrossRef
9.
go back to reference Wada T, Usui K, Isu K, Yamawakii S, Ishii S: Reconstruction and limb salvage after resection for malignant bone tumour of the proximal humerus. A single procedure using a free vasculaized fibular graft. J Bone Join Surg. 1999, 81B: 808-13.CrossRef Wada T, Usui K, Isu K, Yamawakii S, Ishii S: Reconstruction and limb salvage after resection for malignant bone tumour of the proximal humerus. A single procedure using a free vasculaized fibular graft. J Bone Join Surg. 1999, 81B: 808-13.CrossRef
10.
go back to reference Rose PS, Shin AY, Bishop AT, Moran SL, Sim FH: Vascularized free fubula transfer for oncogenic reconstruction of the humerus. Clin Orthop Relat Res. 2005, 438: 80-4.CrossRefPubMed Rose PS, Shin AY, Bishop AT, Moran SL, Sim FH: Vascularized free fubula transfer for oncogenic reconstruction of the humerus. Clin Orthop Relat Res. 2005, 438: 80-4.CrossRefPubMed
11.
go back to reference Bickels J, Wittig JC, Kollender Y, Kellar-Graney K, Meller I, Malawer MM: Limb-sparing resections of the shoulder girdle. J Am Coll Surg. 2002, 194 (4): 422-35. 10.1016/S1072-7515(02)01124-9.CrossRefPubMed Bickels J, Wittig JC, Kollender Y, Kellar-Graney K, Meller I, Malawer MM: Limb-sparing resections of the shoulder girdle. J Am Coll Surg. 2002, 194 (4): 422-35. 10.1016/S1072-7515(02)01124-9.CrossRefPubMed
12.
go back to reference Grimer JG, Carter SR, sneath SR: Manegement of a huge tumour of the humerus by total replacement of the humerus:an 11-year foolow up. Arch Orthop Trauma Surg. 1998, 117: 298-99. 10.1007/s004020050253.CrossRefPubMed Grimer JG, Carter SR, sneath SR: Manegement of a huge tumour of the humerus by total replacement of the humerus:an 11-year foolow up. Arch Orthop Trauma Surg. 1998, 117: 298-99. 10.1007/s004020050253.CrossRefPubMed
13.
go back to reference Ayoub KS, Fiorenza F, Grimer RJ, Tilman SR, Carter RS: Extendable endoprostheses of the humerus after resection of bone tumours. J Bone Joint Surg [Br]. 1999, 81-B: 495-500.CrossRef Ayoub KS, Fiorenza F, Grimer RJ, Tilman SR, Carter RS: Extendable endoprostheses of the humerus after resection of bone tumours. J Bone Joint Surg [Br]. 1999, 81-B: 495-500.CrossRef
Metadata
Title
Total humerus replacement for osteosarcoma with proximal part of humerus: a case report
Authors
Yukihiro Yoshida
Yasuaki Tokuhashi
Publication date
01-12-2012
Publisher
BioMed Central
Published in
World Journal of Surgical Oncology / Issue 1/2012
Electronic ISSN: 1477-7819
DOI
https://doi.org/10.1186/1477-7819-10-36

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