Oncologic reconstruction of the proximal humerus with a reverse total shoulder arthroplasty megaprosthesis
Oncologic reconstruction of the proximal humerus with a reverse total shoulder arthroplasty megaprosthesis
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DOI：
10.1002/jso.25061
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发表时间：
2018-11-01
影响因子：
2.5
通讯作者：
Barlow, Jonathan D.
中科院分区：
文献类型：
--
作者：
Grosel, Timothy W.;Plummer, Darren R.;Barlow, Jonathan D.
背景和目的方法肱骨近端的恶性和良性肿瘤都可能需要切除肱骨近端的大部分，这使得重建选择具有挑战性。虽然半肩关节置换术是一种经典的治疗方法，但反向全肩关节置换术可以为这些患者提供更好的疼痛缓解和功能。骨科肿瘤学家切除肿瘤。受过肩部训练的外科医生植入反向肩关节置换术。现代植入物，具有大的肩盂球和组配式组件，可以为这些患者提供可靠，简单的重建。我们更喜欢6周的术后固定，以减少不稳定的风险。ResultsConclusionWe已经完成了13个反向全肩关节置换肿瘤肩关节切除术，具有可接受的临床效果，没有并发症的日期。反向全肩关节置换与长柄，模块化组件可以可靠地和可重复地重建肱骨近端肿瘤切除患者的肩关节。
Background and PurposeMethodsBoth malignant and benign tumors of the proximal humerus may necessitate resection of a substantial portion of the proximal humerus, making reconstruction options challenging. While hemiarthroplasty has been a classic treatment, reverse total shoulder replacement may provide better pain relief and function for these patients.We utilize a two-surgeon approach for these challenging cases. The orthopedic oncologist resects the tumor. A shoulder-trained surgeon implants the reverse shoulder replacement. Modern implants, with large glenospheres and modular components, can allow reliable, straightforward reconstructions for these patients. We prefer 6 weeks of postoperative immobilization to decrease the risk of instability.ResultsConclusionWe have completed 13 reverse total shoulder replacements for oncologic shoulder resections, with acceptable clinical outcomes and no complications to date.Reverse total shoulder replacement with long-stem, modular components can reliably and reproducibly reconstruct the shoulder in patients with oncologic resections of the proximal humerus.