Document Detail

Proximal ulna endoprosthetic replacement for bone tumours in young patients.
MedLine Citation:
PMID:  22297606     Owner:  NLM     Status:  MEDLINE    
PURPOSE: The optimal reconstructive method after resection of malignant bone tumours of the proximal ulna is unknown.We report the outcome of endoprosthetic replacement in a young patient population.
METHODS: This was a retrospective review of four patients[three males and one female; mean age 17.5 (range 11–31)years] who underwent limb salvage with a proximal ulnar endoprosthetic replacement following excision of malignant bone tumour. Mean follow-up was 85 (range 14–194) months.
RESULTS: All patients were alive at final follow-up and reported an improvement in pain. One patient required transhumeral amputation for intralesional excision complicating a local recurrence at one month. Two patients developed fixed flexion deformities of the elbow, one of whom required radial-head excision. Mean Musculoskeletal Tumour Society (MSTS)score and Toronto Extremity Salvage Score (TESS) were 27(range 25–28) and 81 (73–88), respectively.
CONCLUSIONS: Custom-made proximal ulna endoprosthetic replacement following resection of malignant bone tumours in young patients provides a stable reconstruction option with satisfactory function and without apparent compromise in patient survival.
Mathew D Sewell; Sammy A Hanna; Rob C Pollock; William J Aston; John A Skinner; Gordon W Blunn; Stephen R Cannon; Timothy W R Briggs
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  International orthopaedics     Volume:  36     ISSN:  1432-5195     ISO Abbreviation:  Int Orthop     Publication Date:  2012 May 
Date Detail:
Created Date:  2012-05-31     Completed Date:  2013-04-22     Revised Date:  2013-06-26    
Medline Journal Info:
Nlm Unique ID:  7705431     Medline TA:  Int Orthop     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  1039-44     Citation Subset:  IM    
The Royal National Orthopaedic Hospital, Sarcoma Service, Stanmore, London, UK.
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MeSH Terms
Bone Neoplasms / surgery*
Follow-Up Studies
Limb Salvage
Postoperative Complications
Prosthesis Design
Prosthesis Implantation / methods*
Retrospective Studies
Treatment Outcome
Ulna / pathology,  surgery*
Young Adult

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

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