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Endoprosthetic reconstruction for malignant upper extremity tumors
A Asavamongkolkul1, J J Eckardt, F R Eilber
1Department of Orthopaedic Surgery, University of California, Los Angeles School of Medicine 90095-6902, USA.
Clinical Orthopaedics and Related Research
|April 2, 1999
Summary
Endoprosthetic reconstruction of the upper extremity is a successful treatment for malignant tumors. This method offers good functional outcomes and a low rate of complications, including rare instances of amputation.
Area of Science:
- Orthopedic Surgery
- Oncology
- Reconstructive Surgery
Background:
- Malignant tumors of the upper extremity often require surgical resection.
- Reconstruction following tumor resection is crucial for restoring function.
Purpose of the Study:
- To evaluate the success of endoprosthetic reconstructions in patients with upper extremity malignant tumors.
- To assess functional outcomes and complication rates associated with these reconstructions.
Main Methods:
- Retrospective review of 60 endoprosthetic reconstructions in 59 patients between 1980 and 1992.
- Analysis of tumor types, disease stage, functional outcomes (Musculoskeletal Tumor Society classification), and complications.
Main Results:
- The study included 59 patients (32 male, 27 female) with various upper extremity sarcomas.
- The average Musculoskeletal Tumor Society functional score was 74% for patients with a minimum 2-year follow-up.
- Local complications occurred in 27% of patients, with amputation being rare (5%).
Conclusions:
- Endoprosthetic reconstruction is a successful surgical option for malignant upper extremity tumors.
- The procedure yields favorable functional results with manageable complication rates.
- This approach minimizes the need for amputation, preserving limb function.