Reconstruction of the proximal humerus after wide resection of tumours

R. W. Rödl, G. Gosheger, C. Gebert, N. Lindner, Toshihumi Ozaki, W. Winkelmann

Research output: Contribution to journalArticle

77 Citations (Scopus)

Abstract

In 45 patients we assessed the functional results and complications for three different reconstructive procedures after resection of primary tumours of the proximal humerus. An osteoarticular allograft was used in 11, a clavicula pro humero operation in 15 and a tumour prosthesis in 19. The glenoid was resected with the proximal humerus in 25 patients. The axillary nerve was resected in 42 patients. The complication rate was lowest after reconstruction with a tumour prosthesis. The clavicula pro humero operation resulted in the most revisions. Cumulative survival rates for all the reconstructive procedures were similar. At follow-up at two years the functional results for the three reconstructive procedures were the same with a mean functional rating of 79% (Musculoskeletal Tmnor Society). Excision of the glenoid had no influence on the functional result. Our findings indicate that the use of a tumour prosthesis is the most reliable limb-salvage procedure for the proximal humerus. The clavicula pro humero is an appropriate procedure if a prosthesis cannot be used.

Original languageEnglish
Pages (from-to)1004-1008
Number of pages5
JournalJournal of Bone and Joint Surgery - Series B
Volume84
Issue number7
Publication statusPublished - Sep 2002
Externally publishedYes

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Humerus
Prostheses and Implants
Neoplasms
Limb Salvage
Allografts
Survival Rate

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Rödl, R. W., Gosheger, G., Gebert, C., Lindner, N., Ozaki, T., & Winkelmann, W. (2002). Reconstruction of the proximal humerus after wide resection of tumours. Journal of Bone and Joint Surgery - Series B, 84(7), 1004-1008.

Reconstruction of the proximal humerus after wide resection of tumours. / Rödl, R. W.; Gosheger, G.; Gebert, C.; Lindner, N.; Ozaki, Toshihumi; Winkelmann, W.

In: Journal of Bone and Joint Surgery - Series B, Vol. 84, No. 7, 09.2002, p. 1004-1008.

Research output: Contribution to journalArticle

Rödl, RW, Gosheger, G, Gebert, C, Lindner, N, Ozaki, T & Winkelmann, W 2002, 'Reconstruction of the proximal humerus after wide resection of tumours', Journal of Bone and Joint Surgery - Series B, vol. 84, no. 7, pp. 1004-1008.
Rödl RW, Gosheger G, Gebert C, Lindner N, Ozaki T, Winkelmann W. Reconstruction of the proximal humerus after wide resection of tumours. Journal of Bone and Joint Surgery - Series B. 2002 Sep;84(7):1004-1008.
Rödl, R. W. ; Gosheger, G. ; Gebert, C. ; Lindner, N. ; Ozaki, Toshihumi ; Winkelmann, W. / Reconstruction of the proximal humerus after wide resection of tumours. In: Journal of Bone and Joint Surgery - Series B. 2002 ; Vol. 84, No. 7. pp. 1004-1008.
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