Proximal Humerus Reconstruction for Bone Sarcomas: A Critical Analysis.
JBJS Rev
; 12(3)2024 Mar 01.
Article
em En
| MEDLINE
| ID: mdl-38466801
ABSTRACT
¼ The proximal humerus is a common location for primary bone tumors, and the goal of surgical care is to obtain a negative margin resection and subsequent reconstruction of the proximal humerus to allow for shoulder function.¼ The current evidence supports the use of reverse total shoulder arthroplasty over hemiarthroplasty when reconstructing the proximal humerus after resection of a bone sarcoma if the axillary nerve can be preserved.¼ There is a lack of high-quality data comparing allograft prosthetic composite (APC) with endoprosthetic reconstruction of the proximal humerus.¼ Reverse APC should be performed using an allograft with donor rotator cuff to allow for soft-tissue repair of the donor and host rotator cuff, leading to improvements in shoulder motion compared with an endoprosthesis.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Articulação do Ombro
/
Neoplasias Ósseas
/
Osteossarcoma
Limite:
Humans
Idioma:
En
Ano de publicação:
2024
Tipo de documento:
Article