Reconstruction of the proximal humerus after extensive extraarticular resection for osteosarcoma: A report of two cases with clavicula pro humero reconstruction

  • Authors:
    • Yoshihiro Nishida
    • Satoshi Tsukushi
    • Yoshihisa Yamada
    • Yuzuru Kamei
    • Kazuhiro Toriyama
    • Naoki Ishiguro
  • View Affiliations

  • Published online on: November 1, 2008     https://doi.org/10.3892/or_00000116
  • Pages: 1105-1109
Metrics: Total Views: 0 (Spandidos Publications: | PMC Statistics: )
Total PDF Downloads: 0 (Spandidos Publications: | PMC Statistics: )


Abstract

Two cases with clavicula pro humero reconstruction are described after extensive extraarticular wide resection of osteosarcoma due to the aggressive invasion, pre-operative pathological fracture, and relatively resistant to preoperative chemotherapy. Each patient had proximal humeral osteosarcoma and needed extraarticular resection. One necessitated more than two-third of humeral resection and reconstructed with rotated clavicle reconstruction with use of pasteurized intercalary autogenous bone graft. The other necessitated wide scapular resection, preserving acromio-clavicular joint, could be reconstructed with rotated clavicle. Both had soft tissue reconstruction with pedicled lattissimus dorsi muscle flap for soft tissue defect. The Musculoskeletal Tumor Society score was 73% and 87%, comparable for a previous report with clavicle pro humero reconstruction after conventional resection of proximal humerus or other reconstructive procedures. One had postoperative complication of prominent acromion with skin perforation. Both patients are alive with no evidence of disease, and no local recurrence. Clavicula pro humero reconstruction should be considered in selected patients for whom acromio-clavicular joint could be preserved after extensive resection of humerus or glenoid to obtain wide surgical margin.

Related Articles

Journal Cover

November 2008
Volume 20 Issue 5

Print ISSN: 1021-335X
Online ISSN:1791-2431

Sign up for eToc alerts

Recommend to Library

Copy and paste a formatted citation
x
Spandidos Publications style
Nishida Y, Tsukushi S, Yamada Y, Kamei Y, Toriyama K and Ishiguro N: Reconstruction of the proximal humerus after extensive extraarticular resection for osteosarcoma: A report of two cases with clavicula pro humero reconstruction. Oncol Rep 20: 1105-1109, 2008.
APA
Nishida, Y., Tsukushi, S., Yamada, Y., Kamei, Y., Toriyama, K., & Ishiguro, N. (2008). Reconstruction of the proximal humerus after extensive extraarticular resection for osteosarcoma: A report of two cases with clavicula pro humero reconstruction. Oncology Reports, 20, 1105-1109. https://doi.org/10.3892/or_00000116
MLA
Nishida, Y., Tsukushi, S., Yamada, Y., Kamei, Y., Toriyama, K., Ishiguro, N."Reconstruction of the proximal humerus after extensive extraarticular resection for osteosarcoma: A report of two cases with clavicula pro humero reconstruction". Oncology Reports 20.5 (2008): 1105-1109.
Chicago
Nishida, Y., Tsukushi, S., Yamada, Y., Kamei, Y., Toriyama, K., Ishiguro, N."Reconstruction of the proximal humerus after extensive extraarticular resection for osteosarcoma: A report of two cases with clavicula pro humero reconstruction". Oncology Reports 20, no. 5 (2008): 1105-1109. https://doi.org/10.3892/or_00000116