Proximal ulna endoprosthetic replacement for bone tumours in young patients

Mathew D Sewell; Sammy A Hanna; Rob C Pollock; William J Aston; John A Skinner; Gordon W Blunn; Stephen R Cannon; Timothy W R Briggs

doi:10.1007/s00264-012-1483-z

Proximal ulna endoprosthetic replacement for bone tumours in young patients

Mathew D Sewell, Sammy A Hanna, Rob C Pollock, William J Aston, John A Skinner, Gordon W Blunn, Stephen R Cannon, Timothy W R Briggs

Royal National Orthopaedic Hospital

Research output: Contribution to journal › Article › peer-review

Abstract

PURPOSE: The optimal reconstructive method after resection of malignant bone tumours of the proximal ulna is unknown.We report the outcome of endoprosthetic replacement in a young patient population.

METHODS: This was a retrospective review of four patients[three males and one female; mean age 17.5 (range 11–31)years] who underwent limb salvage with a proximal ulnar endoprosthetic replacement following excision of malignant bone tumour. Mean follow-up was 85 (range 14–194) months.

RESULTS: All patients were alive at final follow-up and reported an improvement in pain. One patient required transhumeral amputation for intralesional excision complicating a local recurrence at one month. Two patients developed fixed flexion deformities of the elbow, one of whom required radial-head excision. Mean Musculoskeletal Tumour Society (MSTS)score and Toronto Extremity Salvage Score (TESS) were 27(range 25–28) and 81 (73–88), respectively.

CONCLUSIONS: Custom-made proximal ulna endoprosthetic replacement following resection of malignant bone tumours in young patients provides a stable reconstruction option with satisfactory function and without apparent compromise in patient survival.

Original language	English
Pages (from-to)	1039-44
Number of pages	6
Journal	The Open Orthopaedics Journal
Volume	36
Issue number	5
DOIs	https://doi.org/10.1007/s00264-012-1483-z
Publication status	Published - May 2012

Keywords

Adolescent
Adult
Bone Neoplasms
Child
Female
Follow-Up Studies
Humans
Limb Salvage
Male
Postoperative Complications
Prosthesis Design
Prosthesis Implantation
Retrospective Studies
Treatment Outcome
Ulna
Young Adult

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title = "Proximal ulna endoprosthetic replacement for bone tumours in young patients",

abstract = "PURPOSE: The optimal reconstructive method after resection of malignant bone tumours of the proximal ulna is unknown.We report the outcome of endoprosthetic replacement in a young patient population.METHODS: This was a retrospective review of four patients[three males and one female; mean age 17.5 (range 11–31)years] who underwent limb salvage with a proximal ulnar endoprosthetic replacement following excision of malignant bone tumour. Mean follow-up was 85 (range 14–194) months.RESULTS: All patients were alive at final follow-up and reported an improvement in pain. One patient required transhumeral amputation for intralesional excision complicating a local recurrence at one month. Two patients developed fixed flexion deformities of the elbow, one of whom required radial-head excision. Mean Musculoskeletal Tumour Society (MSTS)score and Toronto Extremity Salvage Score (TESS) were 27(range 25–28) and 81 (73–88), respectively.CONCLUSIONS: Custom-made proximal ulna endoprosthetic replacement following resection of malignant bone tumours in young patients provides a stable reconstruction option with satisfactory function and without apparent compromise in patient survival.",

keywords = "Adolescent, Adult, Bone Neoplasms, Child, Female, Follow-Up Studies, Humans, Limb Salvage, Male, Postoperative Complications, Prosthesis Design, Prosthesis Implantation, Retrospective Studies, Treatment Outcome, Ulna, Young Adult",

author = "Sewell, {Mathew D} and Hanna, {Sammy A} and Pollock, {Rob C} and Aston, {William J} and Skinner, {John A} and Blunn, {Gordon W} and Cannon, {Stephen R} and Briggs, {Timothy W R}",

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doi = "10.1007/s00264-012-1483-z",

language = "English",

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AU - Sewell, Mathew D

AU - Hanna, Sammy A

AU - Pollock, Rob C

AU - Aston, William J

AU - Skinner, John A

AU - Blunn, Gordon W

AU - Cannon, Stephen R

AU - Briggs, Timothy W R

PY - 2012/5

Y1 - 2012/5

N2 - PURPOSE: The optimal reconstructive method after resection of malignant bone tumours of the proximal ulna is unknown.We report the outcome of endoprosthetic replacement in a young patient population.METHODS: This was a retrospective review of four patients[three males and one female; mean age 17.5 (range 11–31)years] who underwent limb salvage with a proximal ulnar endoprosthetic replacement following excision of malignant bone tumour. Mean follow-up was 85 (range 14–194) months.RESULTS: All patients were alive at final follow-up and reported an improvement in pain. One patient required transhumeral amputation for intralesional excision complicating a local recurrence at one month. Two patients developed fixed flexion deformities of the elbow, one of whom required radial-head excision. Mean Musculoskeletal Tumour Society (MSTS)score and Toronto Extremity Salvage Score (TESS) were 27(range 25–28) and 81 (73–88), respectively.CONCLUSIONS: Custom-made proximal ulna endoprosthetic replacement following resection of malignant bone tumours in young patients provides a stable reconstruction option with satisfactory function and without apparent compromise in patient survival.

AB - PURPOSE: The optimal reconstructive method after resection of malignant bone tumours of the proximal ulna is unknown.We report the outcome of endoprosthetic replacement in a young patient population.METHODS: This was a retrospective review of four patients[three males and one female; mean age 17.5 (range 11–31)years] who underwent limb salvage with a proximal ulnar endoprosthetic replacement following excision of malignant bone tumour. Mean follow-up was 85 (range 14–194) months.RESULTS: All patients were alive at final follow-up and reported an improvement in pain. One patient required transhumeral amputation for intralesional excision complicating a local recurrence at one month. Two patients developed fixed flexion deformities of the elbow, one of whom required radial-head excision. Mean Musculoskeletal Tumour Society (MSTS)score and Toronto Extremity Salvage Score (TESS) were 27(range 25–28) and 81 (73–88), respectively.CONCLUSIONS: Custom-made proximal ulna endoprosthetic replacement following resection of malignant bone tumours in young patients provides a stable reconstruction option with satisfactory function and without apparent compromise in patient survival.

KW - Adolescent

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KW - Bone Neoplasms

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KW - Female

KW - Follow-Up Studies

KW - Humans

KW - Limb Salvage

KW - Male

KW - Postoperative Complications

KW - Prosthesis Design

KW - Prosthesis Implantation

KW - Retrospective Studies

KW - Treatment Outcome

KW - Ulna

KW - Young Adult

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DO - 10.1007/s00264-012-1483-z

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SN - 1874-3250

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EP - 1044

JO - The Open Orthopaedics Journal

JF - The Open Orthopaedics Journal

IS - 5

ER -

Proximal ulna endoprosthetic replacement for bone tumours in young patients

Abstract

Keywords

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