Document Detail


Custom-made endoprosthetic total humerus reconstruction for musculoskeletal tumours.
MedLine Citation:
PMID:  21796334     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: We analysed 11 patients with malignant musculoskeletal tumours of the humerus who underwent limb salvage surgery with total humeral custom endoprosthesis from 1990 to 2009.
METHODS: There were six male and five female patients, with a mean age of 17 years. The most common diagnosis was osteosarcoma. The average follow-up period was 66 months, with the maximum being 180 months. Functional and oncological outcomes were analysed.
RESULTS: The one and five year cumulative survival (Kaplan-Meier method) rates were 90.9% and 77.9 %. The average Musculoskeletal Tumour Society Score (MSTS) was 80%. Two patients died due to metastasis. One patient had a forequarter amputation for local recurrence. The procedure provides fast recovery and relatively good restoration of elbow function, whereas active shoulder movements remain limited
CONCLUSION: Total humeral custom endoprosthetic replacement represents a viable treatment option in indicated patients, providing reliable and reasonable function of the upper limb, with a low complication rate.
Authors:
Mayil Natarajan; Mohamed Sameer; Dheep Kunal; Navin Balasubramanian
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Publication Detail:
Type:  Journal Article     Date:  2011-07-28
Journal Detail:
Title:  International orthopaedics     Volume:  36     ISSN:  1432-5195     ISO Abbreviation:  Int Orthop     Publication Date:  2012 Jan 
Date Detail:
Created Date:  2012-01-05     Completed Date:  2012-05-03     Revised Date:  2013-06-28    
Medline Journal Info:
Nlm Unique ID:  7705431     Medline TA:  Int Orthop     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  125-9     Citation Subset:  IM    
Affiliation:
Madras Medical College, Orthopaedics, Madras, India.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Bone Neoplasms / diagnosis,  mortality,  rehabilitation,  surgery*
Child
Female
Humans
Humerus / surgery*
India / epidemiology
Kaplan-Meier Estimate
Limb Salvage*
Male
Muscle Neoplasms / diagnosis,  mortality,  rehabilitation,  surgery*
Osteosarcoma / diagnosis,  mortality,  rehabilitation,  surgery
Prostheses and Implants
Prosthesis Design*
Reconstructive Surgical Procedures*
Survival Rate
Young Adult
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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