Journal of Orthopedics and Joint Surgery

Register      Login

VOLUME 3 , ISSUE 2 ( July-December, 2021 ) > List of Articles

CASE REPORT

Proximal Humerus Osteosarcoma: Limb Salvage Surgery Using Custom-made Shoulder Arthroplasty and Capsule Reconstruction with the Aortic Synthetic Graft

SV Akshay Kumar, R Deivanayagam, SA Rajkumar, J Balasubramaniam

Keywords : Aortic synthetic graft, Osteosarcoma, Prosthesis, Reconstruction, Tumor surgery

Citation Information : Kumar SA, Deivanayagam R, Rajkumar S, Balasubramaniam J. Proximal Humerus Osteosarcoma: Limb Salvage Surgery Using Custom-made Shoulder Arthroplasty and Capsule Reconstruction with the Aortic Synthetic Graft. 2021; 3 (2):87-90.

DOI: 10.5005/jp-journals-10079-1042

License: CC BY-NC 4.0

Published Online: 22-09-2021

Copyright Statement:  Copyright © 2021; The Author(s).


Abstract

Case description: We are presenting our patient with osteosarcoma in the right proximal humerus from the Southern Region of India. He had been managed well with reconstructive surgery using prosthesis and shoulder capsule reconstruction with the synthetic aortic graft. This 64-year-old, pleasant gentleman presented to us with acute onset of right shoulder pain and limitation of movements of the right shoulder joint limiting his routine activities. It had been successfully managed by a team of specialists with limb-salvage surgery. Conclusion: We validate that this tumor can occur in the proximal humerus of our Indian-aged man and when he presents to us early, he can be treated well by limb salvage with reconstructive surgery.


HTML PDF Share
  1. Tiwari A. Current concepts in surgical treatment of osteosarcoma. J Clin Orthop Trauma 2012;3(1):4–9.
  2. Natarajan M, Sameer M, Kunal D, et al. Custom-made endoprosthetic total humerus reconstruction for musculoskeletal tumours. Int Orthop (SICOT) 2012;36:125–129.
  3. Ozkan EA, Goret CC, Ozdemir ZT, et al. Ayse neslin akkoca. Int J Clin Exp Pathol 2015;8(9):11543–11548.
  4. Singh KA, Shankar V, Mohanty SP. Reconstruction of proximal humerus using custom made acrylic prosthesis in Malignant bone tumours. J Orthop Case Rep 2016;6(5):65–68.
  5. Magdy El-Sherbiny. Reconstruction of the proximal humerus after wide resection of tumours: comparison of three reconstructive options. J Egypt Natl Canc Inst 2008;20(4):369–378.
  6. Rodi RW, Gosheger G, Gelbert C, et al. Reconstruction of the proximal humerus after wide resection of tumours. J Bone Joint Surg Br 2002;84(7):1004–1008.
  7. Potter BK, Adams SC, Pitcher JD, et al. Proximal humerus reconstructions for tumours. Clin Orthop Relat Res 2009;467:1035–1041.
  8. Ji T, Tang X, Guo W. Enhancing soft-tissue reattachment in proximal humeral endoprosthetic reconstruction. J Orthop Surg 2014;22(1):100–103.
  9. Marulanda GA, Henderson E, Cheong D, et al. Proximal and total humerus reconstruction with the use of an aortograft mesh. Clin Orthop Relat Res 2010;468:2896–2903.
  10. Kotwal S, Moon B, Lin P, et al. Total humeral endoprosthetic replacement following excision of malignant bone tumours. Sarcoma, Hindawi Publishing Corporation 2016;2016:6318060.
  11. El Dahieh Ahamaed Salem ASM, Sarfan Y, Sultan I, et al. Standardization of rehabilitation after limb salvage surgery for sarcomas improves patients’ outcome. Hematol Oncol Stem Cell Ther 2013;6(3-4):105–111.
  12. van de Sande MAJ, Sander Dijkstra PD, Taminian AHM. Proximal humerus reconstruction after tumour resection: biological versus endoprosthetic reconstruction. Int Orthop (SICOT) 2011;35:1375–1380.
  13. Tang X, Guo W, Yang R, et al. Synthetic mesh improves shoulder function after intraarticular resection and prosthetic replacement of proximal humerus. Clin Orthop Relat Res 2015;473:1464–1471.
  14. Sirveaux F. Reconstruction techniques after proximal humerus tumour resection. Orthop Traumatol Surg Res 2019;105:5153–5164.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.