European Journal of Surgical Oncology
Volume 36, Issue 4 , Pages 371-377 , April 2010

Replacement of the proximal humerus with MUTARS tumor endoprostheses

  • P. Raiss

      Affiliations

    • Division of Orthopaedic Oncology, Department of Orthopaedics, University of Heidelberg, Schlierbacher Landstrasse 200 A, 69118 Heidelberg, Germany
  • ,
  • S. Kinkel

      Affiliations

    • Division of Orthopaedic Oncology, Department of Orthopaedics, University of Heidelberg, Schlierbacher Landstrasse 200 A, 69118 Heidelberg, Germany
  • ,
  • U. Sauter

      Affiliations

    • Division of Orthopaedic Oncology, Department of Orthopaedics, University of Heidelberg, Schlierbacher Landstrasse 200 A, 69118 Heidelberg, Germany
  • ,
  • T. Bruckner

      Affiliations

    • Division of Orthopaedic Oncology, Department of Orthopaedics, University of Heidelberg, Schlierbacher Landstrasse 200 A, 69118 Heidelberg, Germany
    • Institute for Medical Biometrics and Informatics, University of Heidelberg, Im Neuenheimer Feld 305, 69120 Heidelberg, Germany
    • Corresponding Author InformationCorresponding author. Orthopädische Universitätsklinik Heidelberg, Schlierbacher Landstrasse 200 A, 69118 Heidelberg, Germany. Tel.: +49 6221 966360; fax: +49 6221 966311.
  • ,
  • B. Lehner

      Affiliations

    • Division of Orthopaedic Oncology, Department of Orthopaedics, University of Heidelberg, Schlierbacher Landstrasse 200 A, 69118 Heidelberg, Germany

,Accepted 2 November 2009.

References 

  1. Hage WD, Aboulafia AJ, Aboulafia DM. Incidence, location, and diagnostic evaluation of metastatic bone disease. Orthop Clin North Am. 2000;31:515–528
  2. Kumar D, Grimer RJ, Abudu A, et al. Endoprosthetic replacement of the proximal humerus. Long-term results. J Bone Joint Surg Br. 2003;85:717–722
  3. Gebhardt MC, Roth YF, Mankin HJ. Osteoarticular allografts for reconstruction in the proximal part of the humerus after excision of a musculoskeletal tumor. J Bone Joint Surg Am. 1990;72:334–345
  4. Jensen KL, Johnston JO. Proximal humeral reconstruction after excision of a primary sarcoma. Clin Orthop Relat Res. 1995;164–175
  5. Kocialkowski A, Wallace WA, Harvey L. Fate of frozen intercalary allograft at one year after implantation with adjuvant chemotherapy treatment. A case report. Clin Orthop Relat Res. 1991;146–151
  6. Mankin HJ, Gebhardt MC, Jennings LC, et al. Long-term results of allograft replacement in the management of bone tumors. Clin Orthop Relat Res. 1996;86–97
  7. Rodl RW, Gosheger G, Gebert C, et al. Reconstruction of the proximal humerus after wide resection of tumours. J Bone Joint Surg Br. 2002;84:1004–1008
  8. Ross AC, Wilson JN, Scales JT. Endoprosthetic replacement of the proximal humerus. J Bone Joint Surg Br. 1987;69:656–661
  9. Malawer MM, Chou LB. Prosthetic survival and clinical results with use of large-segment replacements in the treatment of high-grade bone sarcomas. J Bone Joint Surg Am. 1995;77:1154–1165
  10. Simon MA, Aschliman MA, Thomas N, et al. Limb-salvage treatment versus amputation for osteosarcoma of the distal end of the femur. J Bone Joint Surg Am. 1986;68:1331–1337
  11. Springfield DS, Schmidt R, Graham-Pole J, et al. Surgical treatment for osteosarcoma. J Bone Joint Surg Am. 1988;70:1124–1130
  12. Cannon CP, Paraliticci GU, Lin PP, et al. Functional outcome following endoprosthetic reconstruction of the proximal humerus. J Shoulder Elbow Surg. 2009;
  13. Black AW, Szabo RM, Titelman RM. Treatment of malignant tumors of the proximal humerus with allograft-prosthesis composite reconstruction. J Shoulder Elbow Surg. 2007;16:525–533
  14. Wada T, Usui M, Isu K, Yamawakii S, et al. Reconstruction and limb salvage after resection for malignant bone tumour of the proximal humerus. A sling procedure using a free vascularised fibular graft. J Bone Joint Surg Br. 1999;81:808–813
  15. Wittig JC, Bickels J, Kellar-Graney KL, et al. Osteosarcoma of the proximal humerus: long-term results with limb-sparing surgery. Clin Orthop Relat Res. 2002;156–176
  16. Asavamongkolkul A, Eckardt JJ, Eilber FR, et al. Endoprosthetic reconstruction for malignant upper extremity tumors. Clin Orthop Relat Res. 1999;207–220
  17. Bos G, Sim F, Pritchard D, et al. Prosthetic replacement of the proximal humerus. Clin Orthop Relat Res. 1987;178–191
  18. Mayilvahanan N, Paraskumar M, Sivaseelam A, et al. Custom mega-prosthetic replacement for proximal humeral tumours. Int Orthop. 2006;30:158–162
  19. Gosheger G, Gebert C, Ahrens H, et al. Endoprosthetic reconstruction in 250 patients with sarcoma. Clin Orthop Relat Res. 2006;450:164–171
  20. Gosheger G, Hardes J, Ahrens H, et al. Endoprosthetic replacement of the humerus combined with trapezius and latissimus dorsi transfer: a report of three patients. Arch Orthop Trauma Surg. 2005;125:62–65
  21. Enneking WF, Dunham W, Gebhardt MC, et al. A system for the functional evaluation of reconstructive procedures after surgical treatment of tumors of the musculoskeletal system. Clin Orthop Relat Res. 1993;241–246
  22. Enneking WF, Eady JL, Burchardt H. Autogenous cortical bone grafts in the reconstruction of segmental skeletal defects. J Bone Joint Surg Am. 1980;62:1039–1058
  23. Getty PJ, Peabody TD. Complications and functional outcomes of reconstruction with an osteoarticular allograft after intra-articular resection of the proximal aspect of the humerus. J Bone Joint Surg Am. 1999;81:1138–1146
  24. Rodl RW, Ozaki T, Hoffmann C, et al. Osteoarticular allograft in surgery for high-grade malignant tumours of bone. J Bone Joint Surg Br. 2000;82:1006–1010
  25. Bruns J, Delling G, Gruber H, et al. Cementless fixation of megaprostheses using a conical fluted stem in the treatment of bone tumours. J Bone Joint Surg Br. 2007;89:1084–1087
  26. Heisel C, Kinkel S, Bernd L, et al. Megaprostheses for the treatment of malignant bone tumours of the lower limbs. Int Orthop. 2006;30:452–457
  27. Witte D, Bernd L, Bruns J, et al. Limb-salvage reconstruction with MUTARS((R)) hemipelvic endoprosthesis: A prospective multicenter study. Eur J Surg Oncol. 2009;

PII: S0748-7983(09)00503-4

doi: 10.1016/j.ejso.2009.11.001

European Journal of Surgical Oncology
Volume 36, Issue 4 , Pages 371-377 , April 2010