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 An inexpensive reconstruction method after resection in tumors of the proximal humerus with extensive involvement of the diaphysis

Ajay Puri, Ashish Gulia
Department of Orthopedic Oncology, Tata Memorial Hospital, Mumbai, India

Correspondence Address:
Ajay Puri
Orthopaedic Oncologist, Room No: 26, Tata Memorial Hospital, E. Borges Road, Parel, Mumbai - 400 012
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0973-6042.83196

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Year : 2011  |  Volume : 5  |  Issue : 2  |  Page : 44-46

 
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Limb salvage is now the norm for a large majority of malignant bone tumors. The proximal humerus is the third most common site for the occurrence of malignant tumors of bone. In tumors of the proximal humerus with large volume disease, extensive involvement of the diaphysis is not infrequent. Resection may often extend as far as the distal metaphysis in order to obtain adequate oncologic margins. A very small distal stump of bone poses unique challenges in reconstruction where conventional reconstruction modalities may be difficult to apply. We describe the use of a customised plate to reconstruct these defects which offers an inexpensive, easy to use, durable reconstruction option. It provides adequate shoulder and arm stability and ensures excellent hand and elbow motion with good functional results.






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© 2006 - International Journal of Shoulder Surgery
| Published by Wolters Kluwer - Medknow Online since 1st September '06

 

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Ajay Puri, Ashish Gulia
Department of Orthopedic Oncology, Tata Memorial Hospital, Mumbai, India

Correspondence Address:
Ajay Puri
Orthopaedic Oncologist, Room No: 26, Tata Memorial Hospital, E. Borges Road, Parel, Mumbai - 400 012
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0973-6042.83196

Get Permissions

Limb salvage is now the norm for a large majority of malignant bone tumors. The proximal humerus is the third most common site for the occurrence of malignant tumors of bone. In tumors of the proximal humerus with large volume disease, extensive involvement of the diaphysis is not infrequent. Resection may often extend as far as the distal metaphysis in order to obtain adequate oncologic margins. A very small distal stump of bone poses unique challenges in reconstruction where conventional reconstruction modalities may be difficult to apply. We describe the use of a customised plate to reconstruct these defects which offers an inexpensive, easy to use, durable reconstruction option. It provides adequate shoulder and arm stability and ensures excellent hand and elbow motion with good functional results.






[FULL TEXT] [PDF]*


        
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Sitemap | What's New | Copyright and Disclaimer
© 2006 - International Journal of Shoulder Surgery
| Published by Wolters Kluwer - Medknow Online since 1st September '06