Compressive osseointegration endoprosthesis for massive bone loss in the upper extremity: surgical technique

BACKGROUND: Reconstruction of large segments of bone loss can be very difficult. The use of a prestressed ingrowth implant can offer an attractive surgical option in these challenging cases. METHODS: This report describes the surgical technique in depth, combining the experience of the authors. Nuances of the technique are emphasized. RESULTS: Although published reports are uncommon, long-term restoration of extremity function is possible with this technology. CONCLUSIONS: The use of compressive osseointegration endoprostheses is not yet widespread in the upper extremity, but this technology adds to the host of surgical options for managing massive bone loss and difficult revision surgery.