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The results of total humeral replacement following excision for primary bone tumour
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| Zeitschriftentitel: | The Journal of Bone and Joint Surgery. British volume |
|---|---|
| Personen und Körperschaften: | , |
| In: | The Journal of Bone and Joint Surgery. British volume, 94-B, 2012, 9, S. 1277-1281 |
| Format: | E-Article |
| Sprache: | Englisch |
| veröffentlicht: |
British Editorial Society of Bone & Joint Surgery
|
| Schlagwörter: |
| author_facet |
Puri, A. Gulia, A. Puri, A. Gulia, A. |
|---|---|
| author |
Puri, A. Gulia, A. |
| spellingShingle |
Puri, A. Gulia, A. The Journal of Bone and Joint Surgery. British volume The results of total humeral replacement following excision for primary bone tumour Orthopedics and Sports Medicine Surgery |
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puri, a. |
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Puri, A. Gulia, A. 0301-620X 2044-5377 British Editorial Society of Bone & Joint Surgery Orthopedics and Sports Medicine Surgery http://dx.doi.org/10.1302/0301-620x.94b9.29697 <jats:p>Rarely, the extent of a malignant bone tumour may necessitate resection of the complete humerus to achieve adequate oncological clearance. We present our experience with reconstruction in such cases using a total humeral endoprosthesis (THER) in 20 patients (12 male and eight female) with a mean age of 22 years (6 to 59). We assessed the complications, the oncological and functional outcomes and implant survival. Surgery was performed between June 2001 and October 2009. The diagnosis included osteosarcoma in nine, Ewing’s sarcoma in eight and chondrosarcoma in three. One patient was lost to follow-up. The mean follow-up was 41 months (10 to 120) for all patients and 56 months (25 to 120) in survivors. There were five local recurrences (26.3%) and 11 patients were alive at time of last follow-up, with overall survival for all patients being 52% (95% confidence interval (CI) 23.8 to 74) at five years. The mean Musculoskeletal Tumor Society score for the survivors was 22 (73%; 16 to 23). The implant survival was 95% (95% CI 69.5 to 99.3) at five years.</jats:p><jats:p>The use of a THER in the treatment of malignant tumours of bone is oncologically safe; it gives consistent and predictable results with low rates of complication.</jats:p> The results of total humeral replacement following excision for primary bone tumour The Journal of Bone and Joint Surgery. British volume |
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The results of total humeral replacement following excision for primary bone tumour |
| title_unstemmed |
The results of total humeral replacement following excision for primary bone tumour |
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The results of total humeral replacement following excision for primary bone tumour |
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The results of total humeral replacement following excision for primary bone tumour |
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The results of total humeral replacement following excision for primary bone tumour |
| title_short |
The results of total humeral replacement following excision for primary bone tumour |
| title_sort |
the results of total humeral replacement following excision for primary bone tumour |
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Orthopedics and Sports Medicine Surgery |
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http://dx.doi.org/10.1302/0301-620x.94b9.29697 |
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2012 |
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1277-1281 |
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<jats:p>Rarely, the extent of a malignant bone tumour may necessitate resection of the complete humerus to achieve adequate oncological clearance. We present our experience with reconstruction in such cases using a total humeral endoprosthesis (THER) in 20 patients (12 male and eight female) with a mean age of 22 years (6 to 59). We assessed the complications, the oncological and functional outcomes and implant survival. Surgery was performed between June 2001 and October 2009. The diagnosis included osteosarcoma in nine, Ewing’s sarcoma in eight and chondrosarcoma in three. One patient was lost to follow-up. The mean follow-up was 41 months (10 to 120) for all patients and 56 months (25 to 120) in survivors. There were five local recurrences (26.3%) and 11 patients were alive at time of last follow-up, with overall survival for all patients being 52% (95% confidence interval (CI) 23.8 to 74) at five years. The mean Musculoskeletal Tumor Society score for the survivors was 22 (73%; 16 to 23). The implant survival was 95% (95% CI 69.5 to 99.3) at five years.</jats:p><jats:p>The use of a THER in the treatment of malignant tumours of bone is oncologically safe; it gives consistent and predictable results with low rates of complication.</jats:p> |
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| description | <jats:p>Rarely, the extent of a malignant bone tumour may necessitate resection of the complete humerus to achieve adequate oncological clearance. We present our experience with reconstruction in such cases using a total humeral endoprosthesis (THER) in 20 patients (12 male and eight female) with a mean age of 22 years (6 to 59). We assessed the complications, the oncological and functional outcomes and implant survival. Surgery was performed between June 2001 and October 2009. The diagnosis included osteosarcoma in nine, Ewing’s sarcoma in eight and chondrosarcoma in three. One patient was lost to follow-up. The mean follow-up was 41 months (10 to 120) for all patients and 56 months (25 to 120) in survivors. There were five local recurrences (26.3%) and 11 patients were alive at time of last follow-up, with overall survival for all patients being 52% (95% confidence interval (CI) 23.8 to 74) at five years. The mean Musculoskeletal Tumor Society score for the survivors was 22 (73%; 16 to 23). The implant survival was 95% (95% CI 69.5 to 99.3) at five years.</jats:p><jats:p>The use of a THER in the treatment of malignant tumours of bone is oncologically safe; it gives consistent and predictable results with low rates of complication.</jats:p> |
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| spelling | Puri, A. Gulia, A. 0301-620X 2044-5377 British Editorial Society of Bone & Joint Surgery Orthopedics and Sports Medicine Surgery http://dx.doi.org/10.1302/0301-620x.94b9.29697 <jats:p>Rarely, the extent of a malignant bone tumour may necessitate resection of the complete humerus to achieve adequate oncological clearance. We present our experience with reconstruction in such cases using a total humeral endoprosthesis (THER) in 20 patients (12 male and eight female) with a mean age of 22 years (6 to 59). We assessed the complications, the oncological and functional outcomes and implant survival. Surgery was performed between June 2001 and October 2009. The diagnosis included osteosarcoma in nine, Ewing’s sarcoma in eight and chondrosarcoma in three. One patient was lost to follow-up. The mean follow-up was 41 months (10 to 120) for all patients and 56 months (25 to 120) in survivors. There were five local recurrences (26.3%) and 11 patients were alive at time of last follow-up, with overall survival for all patients being 52% (95% confidence interval (CI) 23.8 to 74) at five years. The mean Musculoskeletal Tumor Society score for the survivors was 22 (73%; 16 to 23). The implant survival was 95% (95% CI 69.5 to 99.3) at five years.</jats:p><jats:p>The use of a THER in the treatment of malignant tumours of bone is oncologically safe; it gives consistent and predictable results with low rates of complication.</jats:p> The results of total humeral replacement following excision for primary bone tumour The Journal of Bone and Joint Surgery. British volume |
| spellingShingle | Puri, A., Gulia, A., The Journal of Bone and Joint Surgery. British volume, The results of total humeral replacement following excision for primary bone tumour, Orthopedics and Sports Medicine, Surgery |
| title | The results of total humeral replacement following excision for primary bone tumour |
| title_full | The results of total humeral replacement following excision for primary bone tumour |
| title_fullStr | The results of total humeral replacement following excision for primary bone tumour |
| title_full_unstemmed | The results of total humeral replacement following excision for primary bone tumour |
| title_short | The results of total humeral replacement following excision for primary bone tumour |
| title_sort | the results of total humeral replacement following excision for primary bone tumour |
| title_unstemmed | The results of total humeral replacement following excision for primary bone tumour |
| topic | Orthopedics and Sports Medicine, Surgery |
| url | http://dx.doi.org/10.1302/0301-620x.94b9.29697 |