Proximal Humerus Reconstruction after Tumor Resection: An Overview of Surgical Management

Proximal humerus is one of the anatomical sites that are most frequently involved by bone and soft tissue malignant tumors. Alone or in association with adjuvant treatments, surgery represents the main therapeutic option to treat and eradicate these diseases. Once the first-line option, in the last...

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Main Authors: Antonio D’Arienzo, Edoardo Ipponi, Alfio Damiano Ruinato, Silvia De Franco, Simone Colangeli, Lorenzo Andreani, Rodolfo Capanna
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Advances in Orthopedics
Online Access:http://dx.doi.org/10.1155/2021/5559377
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author Antonio D’Arienzo
Edoardo Ipponi
Alfio Damiano Ruinato
Silvia De Franco
Simone Colangeli
Lorenzo Andreani
Rodolfo Capanna
author_facet Antonio D’Arienzo
Edoardo Ipponi
Alfio Damiano Ruinato
Silvia De Franco
Simone Colangeli
Lorenzo Andreani
Rodolfo Capanna
author_sort Antonio D’Arienzo
collection DOAJ
description Proximal humerus is one of the anatomical sites that are most frequently involved by bone and soft tissue malignant tumors. Alone or in association with adjuvant treatments, surgery represents the main therapeutic option to treat and eradicate these diseases. Once the first-line option, in the last decades, amputation lost its role as treatment of choice for the large majority of cases in favor of the modern limb sparing surgery that promises to preserve anatomy and—as much as possible—upper limb functionality. Currently, the main approaches used to replace proximal humerus after a wide resection in oncologic surgery can be summarized in biological reconstructions (allografts and autografts), prosthetic reconstructions (anatomic endoprostheses, total reverse shoulder prostheses), and graft-prosthetic composite reconstructions. The purpose of this overview is to present nowadays surgical options for proximal humerus reconstruction in oncological patients, with their respective advantages and disadvantages.
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language English
publishDate 2021-01-01
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series Advances in Orthopedics
spelling doaj-art-eefc8c78bd5c4cc7a3f664c729a79ca42025-02-03T06:46:14ZengWileyAdvances in Orthopedics2090-34642090-34722021-01-01202110.1155/2021/55593775559377Proximal Humerus Reconstruction after Tumor Resection: An Overview of Surgical ManagementAntonio D’Arienzo0Edoardo Ipponi1Alfio Damiano Ruinato2Silvia De Franco3Simone Colangeli4Lorenzo Andreani5Rodolfo Capanna6Department of Orthopaedic and Trauma Surgery, University of Pisa, Pisa, ItalyDepartment of Orthopaedic and Trauma Surgery, University of Pisa, Pisa, ItalyDepartment of Orthopaedic and Trauma Surgery, University of Pisa, Pisa, ItalyDepartment of Orthopaedic and Trauma Surgery, University of Pisa, Pisa, ItalyDepartment of Orthopaedic and Trauma Surgery, University of Pisa, Pisa, ItalyDepartment of Orthopaedic and Trauma Surgery, University of Pisa, Pisa, ItalyDepartment of Orthopaedic and Trauma Surgery, University of Pisa, Pisa, ItalyProximal humerus is one of the anatomical sites that are most frequently involved by bone and soft tissue malignant tumors. Alone or in association with adjuvant treatments, surgery represents the main therapeutic option to treat and eradicate these diseases. Once the first-line option, in the last decades, amputation lost its role as treatment of choice for the large majority of cases in favor of the modern limb sparing surgery that promises to preserve anatomy and—as much as possible—upper limb functionality. Currently, the main approaches used to replace proximal humerus after a wide resection in oncologic surgery can be summarized in biological reconstructions (allografts and autografts), prosthetic reconstructions (anatomic endoprostheses, total reverse shoulder prostheses), and graft-prosthetic composite reconstructions. The purpose of this overview is to present nowadays surgical options for proximal humerus reconstruction in oncological patients, with their respective advantages and disadvantages.http://dx.doi.org/10.1155/2021/5559377
spellingShingle Antonio D’Arienzo
Edoardo Ipponi
Alfio Damiano Ruinato
Silvia De Franco
Simone Colangeli
Lorenzo Andreani
Rodolfo Capanna
Proximal Humerus Reconstruction after Tumor Resection: An Overview of Surgical Management
Advances in Orthopedics
title Proximal Humerus Reconstruction after Tumor Resection: An Overview of Surgical Management
title_full Proximal Humerus Reconstruction after Tumor Resection: An Overview of Surgical Management
title_fullStr Proximal Humerus Reconstruction after Tumor Resection: An Overview of Surgical Management
title_full_unstemmed Proximal Humerus Reconstruction after Tumor Resection: An Overview of Surgical Management
title_short Proximal Humerus Reconstruction after Tumor Resection: An Overview of Surgical Management
title_sort proximal humerus reconstruction after tumor resection an overview of surgical management
url http://dx.doi.org/10.1155/2021/5559377
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