alexa Humeral Shaft Metastases: An Alternative Method of Reco
ISSN: 2165-7920

Journal of Clinical Case Reports
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Humeral Shaft Metastases: An Alternative Method of Reconstruction after Surgical Resection

Cappuccio Michele1, Calabro Teresa2*, De Iure Federico1, Tigani Domenico3 and Gasbarrini Alessandro4
1Orthopaedic and Trauma Unit-Spine Sugery, Maggiore Hospital, Largo Nigrisoli, 2 40133, Bologna, Italy
2Department of Orthopaedics, University of Bologna, Istituto Ortopedico Rizzoli, Bologna, Italy
3Orthopaedic and Trauma Unit, Maggiore Hospital, Largo Nigrisoli, 240133, Bologna, Italy
4Department of Degenerative and Oncological Spine Surgery, Istituto Ortopedico Rizzoli, Bologna, Italy
Corresponding Author : Teresa Calabro
Department of Orthopaedics, University of Bologna
Istituto Ortopedico Rizzoli, Bologna, Italy
Tel: 0039 3381845257
E-mail: [email protected]
Received: December 09, 2015; Accepted: January 11, 2016; Published: January 15, 2016
Citation: Michele C, Teresa C, Federico D, Domenico T, Alessandro G (2016) Humeral Shaft Metastases: An Alternative Method of Reconstruction after Surgical Resection. J Clin Case Rep 6:684. doi:10.4172/2165-7920.1000684
Copyright: © 2016 Michele C, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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Aim: To retrospectively review our patients with metastasis of diaphyseal humerus by surgical resection and
reconstruction with cement, titanium mesh and plate.
Methods: Between April 2008 and December 2012 we treated 6 consecutive patients with humeral metastasis,
4 females and 2 males, with a mean age of 72 years (range 60-78 years) and a mean follow up of 14 months (range
1.3-47.2 months).
Results: We observed one major complication and all patients died of disease. The mean Musculoskeletal
Tumour Society functional score at the time of final follow up was 26.8. Limb salvage surgery for malignant tumors
of diaphyseal humerus is an operative challenge, where the surgeon has to preserve elbow and hand functions and
retain shoulder stability with as much function as possible. Diaphyseal resection allows disease local control, which
alleviate tumor-related pain also preserving the shoulder and elbow function.
Conclusions: Treatment with cemented-plate and mesh provided a cheap and reliable option for diaphyseal
humerus reconstruction after tumour resection.


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