Preliminary results after reconstruction of bony defects of the proximal humerus with an allograft-resurfacing composite

P. Ruggieri, A. F. Mavrogenis, G. Guerra, M. Mercuri

Research output: Contribution to journalArticlepeer-review

Abstract

We retrospectively studied 14 patients with proximal and diaphyseal tumours and disappearing bone (Gorham's) disease of the humerus treated with wide resection and reconstruction using an allograft-resurfacing composite (ARC). There were ten women and four men, with a mean age of 35 years (8 to 69). At a mean follow-up of 25 months (10 to 89), two patients had a fracture of the allograft. In one of these it was revised with a similar ARC and in the other with an intercalary prosthesis. A further patient had an infection and a fracture of the allograft that was revised with a megaprosthesis. In all patients with an ARC, healing of the ARC-host bone interface was observed. One patient had failure of the locking mechanism of the total elbow replacement. The mean post-operative Musculoskeletal Tumor Society score for the upper extremity was 77% (46.7% to 86.7%), which represents good and excellent results; one patient had a poor result (46.7%). In the short term ARC effectively relieves pain and restores shoulder function in patients with wide resection of the proximal humerus. Fracture and infection remain significant complications.

Original languageEnglish
Pages (from-to)1098-1103
Number of pages6
JournalJournal of Bone and Joint Surgery - Series B
Volume93 B
Issue number8
DOIs
Publication statusPublished - Aug 2011

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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