Abstract
Between 1988 and 2006, 18 patients had a custom-made endoprosthetic replacement of the distal humerus for bone tumours at our institution. There were 11 primary malignant neoplasms, six secondary deposits, and one benign aggressive tumour. The mean follow-up was for 4.4 years (1 to 18.2). Complications occurred in nine patients and included aseptic loosening in three (16.6%), local recurrence in two (11%), infection in two (11%), neuropraxia of the radial nerve in one (5.5%) and a peri-prosthetic fracture in one (5.5%). Excision was inadequate in four patients (22%), all of which developed local recurrence and/or metastases. There were seven deaths from the primary disease after a mean of 2.3 years (1 to 5), one of whom had an above-elbow amputation for local recurrence seven months before death. The remaining six had satisfactory elbow function at their last follow-up. The 11 living patients were evaluated using the Musculoskeletal Tumour Society and Toronto Extremity Salvage scoring systems. The mean scores achieved were 76% (67% to 87%) and 73% (59% to 79%), respectively. Overall, 17 of 18 patients had significant improvement in the degree of their pain following operation. Custom-made endoprosthetic reconstruction of the elbow for bone tumours is a viable treatment in carefully selected patients. It maintains satisfactory function and provides good pain relief.
Original language | English |
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Pages (from-to) | 1498-1503 |
Number of pages | 6 |
Journal | Journal of Bone and Joint Surgery - British Volume |
Volume | 89 |
Issue number | 11 |
DOIs | |
Publication status | Published - Nov 2007 |
Keywords
- Adolescent
- Adult
- Aged
- Aged, 80 and over
- Arthroplasty, Replacement
- Bone Neoplasms
- Child
- Child, Preschool
- Female
- Follow-Up Studies
- Humans
- Humerus
- Joint Prosthesis
- Male
- Middle Aged
- Radiography
- Range of Motion, Articular
- Reoperation
- Treatment Outcome
- Research Support, Non-U.S. Gov't