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proximal humerus reconstruction in orthopedic oncology

Journal of Cancer Metastasis and Treatment 2021年第1期7卷 97-110页

作者： Sridhar Pinnamaneni Timothy A.Damron Shoulder and Elbow Section Signature OrthopedicsSt.LouisMissouri 63128USA Orthopedic Oncology Section Upstate OrthopedicsSyracuseNew York 13210USA

proximal humeral reconstructive options following radical resection of proximal humeral primary and metastatic bone malignancies have evolved over *** the relatively recent advent of the reverse total shoulder(RTSA),this technique has been increasingly employed in this setting over hemiarthroplasty *** array of options,including proximal humeral allograft-prosthetic composites(including both RTSA and hemiarthroplasty),megaprostheses,and osteoarticular allografts,is reviewed from the perspective of their indications,techniques,complications,and published *** extensive case-based pictorial presentation illustrates these options.

关键词： proximal humerus oncology primary bone tumor metastatic disease endoprosthesis allograft

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Endosteal Fibular Strut Graft with proximal Humeral Locking Plate in Delayed and Neglected Fractures of the proximal humerus

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Open Journal of Orthopedics 2020年第12期10卷 359-370页

作者： Piyush Wasudeo Gadegone Wasudeo Gadegone Vijayanand Lokhande Department of Orthopaedics & Traumatology Chandrapur Multispeciality Hospital Chandrapur India

Purpose: The purpose of this study was to define a treatment protocol in which a non-vascularized endosteal fibular strut graft, a corticocancellous grafts and a locking plate construct are used for stabilization of the delayed and neglected proximal humerus fractures and to report its outcome. Patients & Methods: Eleven patients (6 females and 5 males) with delayed, neglected proximal humerus fractures were included in this study, conducted between March 2015 and December 2019. Average age of the patients was 57 years (range: 41 to 67 yrs). All patients were treated with the debridement, decortication and shingling of the bone at the site of the fracture followed by using an endosteal fibular strut graft, corticocancellous bone grafts and stabilization with locking plate. The patients were followed up for a mean time of 16.3 months (range: 13 to 40 months). The patient outcomes were evaluated using the Disabilities of the Arm, Shoulder, and Hand Questionnaire, and the modified scoring system of Constant and Murley. Results: Union at the fracture site was achieved in all patients at a mean of 8.5 months (range: 6 to 11 months). The DASH score improved from an average pre-operative score of 71.1 (range: 64 to 78) to an average post-operative score of 25.2 (range: 21 to 35) at the final follow-up. Albeit with a small sample size of n = 11, this difference was found to be statistically significant (p 0.05). The CM score improved from an average pre-operative score of 33.2

关键词： proximal humerus Endosteal Fibular Graft Neglected Fractures Locking Plate Cortico-Cancellous Bone Grafts

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Expanding the horizons of clinical applications of proximal humerus locking plates in the lower extremities:A technical note

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Chinese Journal of Traumatology 2020年第6期23卷 331-335页

作者： Robinson E.Pires Richard S.Yoon Frank A.Liporace Daniel Balbachevsky Rogerio CBitar Vincenzo Giordano Andre Wajnsztejn Mauricio Kfuri Departamento do Aparelho Locomotor-Universidade Federal de Minas Gerais Belo HorizonteMGBrazil Division of Orthopedic Trauma&Adult Reconstruction Department of Orthopedic SurgeryJersey City Medical Center-RWJ Barnabas Health Jersey CityNJUnited States Departamento de Ortopedia e Traumatologia Universidade Federal de São PauloSão PauloSPBrazil Departamento de Ortopedia e Anestesiologia Universidade de São PauloRibeirão PretoSPBrazil Serviço de Ortopedia e Traumatologia Prof.Nova Monteiro Hospital Municipal Miguel CoutoRio de JaneiroRJBrazil Serviço de Ortopedia e Traumatologia Hospital Israelita Albert Einstein HospitalSão PauloSPBrazil Missouri Orthopaedic Institute University of MissouriColumbiaUnited States

Pre-contoured anatomical locking plates were designed to address the clinical need of fixing small epiphyseal segments with a larger number of *** plates match the contour and shape of a variety of bones allowing for optimal buttress *** aim of this manuscript is to highlight the benefits of applying proximal humerus locking plates in the fixation of lower extremity *** designed for the proximal humerus,the low-profile plate shape and anatomic contour also provides versatile use in certain areas of the lower *** technical narrative highlights the versatile and reliable use of this plate for other anatomical areas than the one to which it has been originally conceived.

关键词： proximal humerus Locking plate Distal femur proximal tibia Distal tibia

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