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

Research output: Contribution to journalArticlepeer-review


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 languageEnglish
Pages (from-to)1039-44
Number of pages6
JournalThe Open Orthopaedics Journal
Issue number5
Publication statusPublished - May 2012


  • 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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