Modular prostheses in the treatment of proximal humerus metastases: review of 40 cases.
J Orthop Traumatol
; 9(1): 5-10, 2008 Mar.
Article
in En
| MEDLINE
| ID: mdl-19384474
ABSTRACT
BACKGROUND:
The humerus is the second most common site of metastatic bone disease involving long bones. Tumors which have a predilection for dissemination to bone are those of breast, prostate, thyroid, lung and kidney. The rationale for surgical treatment of these lesions is to prevent or treat pathological fractures in order to relieve pain and improve function. MATERIALS ANDMETHODS:
Forty patients who had resection of the proximal humerus for metastatic bone disease and reconstruction with a modular prosthesis were retrospectively reviewed.RESULTS:
Mean functional outcome was 73.1% (Enneking score) and better results were achieved when a reverse prosthesis was implanted. Overall survival was 70% at 1 year, 42.5% at 2 years and 20% at 5 years. Local recurrence occurred in 4 patients, each of whom had initially been treated for a pathological fracture.CONCLUSIONS:
It is important to follow rational guidelines, like those of Capanna and Mirels, in order to prevent pathological fractures and to give the patient a definitive treatment, as the advances in the management of cancer prolong the survival of these patients. In this series, satisfactory results were obtained, giving the patients an acceptable quality of life.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Type of study:
Guideline
Aspects:
Patient_preference
Language:
En
Journal:
J Orthop Traumatol
Journal subject:
ORTOPEDIA
/
TRAUMATOLOGIA
Year:
2008
Document type:
Article
Affiliation country:
Italy