Endoprosthetic replacement of the distal humerus following resection of bone tumours

S A Hanna, L A David, W J S Aston, P D Gikas, G W Blunn, S R Cannon, T W R Briggs

    Research output: Contribution to journalArticlepeer-review

    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 languageEnglish
    Pages (from-to)1498-1503
    Number of pages6
    JournalJournal of Bone and Joint Surgery - British Volume
    Volume89
    Issue number11
    DOIs
    Publication statusPublished - 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

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