Pinnamaneni Sridhar, Damron Timothy A
Shoulder and Elbow Section, Signature Orthopedics, St. Louis, Missouri 63128, USA.
Orthopedic Oncology Section, Upstate Orthopedics, Syracuse, New York 13210, USA.
J Cancer Metastasis Treat. 2021;7. doi: 10.20517/2394-4722.2020.94. Epub 2021 Feb 3.
Proximal humeral reconstructive options following radical resection of proximal humeral primary and metastatic bone malignancies have evolved over time. With the relatively recent advent of the reverse total shoulder (RTSA), this technique has been increasingly employed in this setting over hemiarthroplasty techniques. An 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 results. An extensive case-based pictorial presentation illustrates these options.
随着时间的推移，肱骨近端原发性和转移性骨恶性肿瘤根治性切除术后的肱骨近端重建选择不断发展。随着反向全肩关节（RTSA）技术的相对近期出现，与半关节置换术相比，该技术在这种情况下的应用越来越多。本文从适应证、技术、并发症及已发表的结果等方面，对一系列重建选择进行综述，包括肱骨近端同种异体骨-假体复合物（包括RTSA和半关节置换术）、大型假体和骨关节同种异体骨。大量基于病例的图片展示说明了这些选择。
