Modular prostheses in the treatment of proximal humerus metastases: review of 40 cases

BACKGROUND: The humerus is the second most common site of metastatic bone disease involving long bones. Tumors which have a predilection for dissemination to bone are those of breast, prostate, thyroid, lung and kidney. The rationale for surgical treatment of these lesions is to prevent or treat pat...

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Autores principales: Scotti, C., Camnasio, F., Peretti, G. M., Fontana, F., Fraschini, G.
Formato: Texto
Lenguaje:English
Publicado: Springer Milan 2008
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2656978/
https://www.ncbi.nlm.nih.gov/pubmed/19384474
http://dx.doi.org/10.1007/s10195-008-0097-0
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author Scotti, C.
Camnasio, F.
Peretti, G. M.
Fontana, F.
Fraschini, G.
author_facet Scotti, C.
Camnasio, F.
Peretti, G. M.
Fontana, F.
Fraschini, G.
author_sort Scotti, C.
collection PubMed
description BACKGROUND: The humerus is the second most common site of metastatic bone disease involving long bones. Tumors which have a predilection for dissemination to bone are those of breast, prostate, thyroid, lung and kidney. The rationale for surgical treatment of these lesions is to prevent or treat pathological fractures in order to relieve pain and improve function. MATERIALS AND METHODS: Forty patients who had resection of the proximal humerus for metastatic bone disease and reconstruction with a modular prosthesis were retrospectively reviewed. RESULTS: Mean functional outcome was 73.1% (Enneking score) and better results were achieved when a reverse prosthesis was implanted. Overall survival was 70% at 1 year, 42.5% at 2 years and 20% at 5 years. Local recurrence occurred in 4 patients, each of whom had initially been treated for a pathological fracture. CONCLUSIONS: It is important to follow rational guidelines, like those of Capanna and Mirels, in order to prevent pathological fractures and to give the patient a definitive treatment, as the advances in the management of cancer prolong the survival of these patients. In this series, satisfactory results were obtained, giving the patients an acceptable quality of life.
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spelling pubmed-26569782009-03-25 Modular prostheses in the treatment of proximal humerus metastases: review of 40 cases Scotti, C. Camnasio, F. Peretti, G. M. Fontana, F. Fraschini, G. J Orthop Traumatol Original BACKGROUND: The humerus is the second most common site of metastatic bone disease involving long bones. Tumors which have a predilection for dissemination to bone are those of breast, prostate, thyroid, lung and kidney. The rationale for surgical treatment of these lesions is to prevent or treat pathological fractures in order to relieve pain and improve function. MATERIALS AND METHODS: Forty patients who had resection of the proximal humerus for metastatic bone disease and reconstruction with a modular prosthesis were retrospectively reviewed. RESULTS: Mean functional outcome was 73.1% (Enneking score) and better results were achieved when a reverse prosthesis was implanted. Overall survival was 70% at 1 year, 42.5% at 2 years and 20% at 5 years. Local recurrence occurred in 4 patients, each of whom had initially been treated for a pathological fracture. CONCLUSIONS: It is important to follow rational guidelines, like those of Capanna and Mirels, in order to prevent pathological fractures and to give the patient a definitive treatment, as the advances in the management of cancer prolong the survival of these patients. In this series, satisfactory results were obtained, giving the patients an acceptable quality of life. Springer Milan 2008-03-13 2008-03 /pmc/articles/PMC2656978/ /pubmed/19384474 http://dx.doi.org/10.1007/s10195-008-0097-0 Text en © Springer-Verlag 2008
spellingShingle Original
Scotti, C.
Camnasio, F.
Peretti, G. M.
Fontana, F.
Fraschini, G.
Modular prostheses in the treatment of proximal humerus metastases: review of 40 cases
title Modular prostheses in the treatment of proximal humerus metastases: review of 40 cases
title_full Modular prostheses in the treatment of proximal humerus metastases: review of 40 cases
title_fullStr Modular prostheses in the treatment of proximal humerus metastases: review of 40 cases
title_full_unstemmed Modular prostheses in the treatment of proximal humerus metastases: review of 40 cases
title_short Modular prostheses in the treatment of proximal humerus metastases: review of 40 cases
title_sort modular prostheses in the treatment of proximal humerus metastases: review of 40 cases
topic Original
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2656978/
https://www.ncbi.nlm.nih.gov/pubmed/19384474
http://dx.doi.org/10.1007/s10195-008-0097-0
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