Proximal humerus reconstruction in orthopedic oncology

Area of Science:

• Orthopedic surgery
• Oncology
• Reconstructive surgery

Background:

• Proximal humeral malignancies necessitate radical resection and reconstruction.
• Surgical options have evolved significantly over time.
• Reverse total shoulder arthroplasty (RTSA) is increasingly utilized.

Purpose of the Study:

• To review reconstructive options for proximal humeral bone tumors.
• To compare different techniques including RTSA, hemiarthroplasty, allografts, and megaprostheses.
• To analyze indications, techniques, complications, and outcomes.

Main Methods:

• Literature review of reconstructive techniques for proximal humeral bone tumors.
• Analysis of case-based pictorial presentations.
• Evaluation of published results, complications, and indications.

Main Results:

• Reverse total shoulder arthroplasty (RTSA) is increasingly favored over hemiarthroplasty.
• Proximal humeral allograft-prosthetic composites, megaprostheses, and osteoarticular allografts are viable options.
• The review details the specific applications and outcomes of each reconstructive method.

Conclusions:

• A range of reconstructive options exist for proximal humeral bone tumor resection.
• Reverse total shoulder arthroplasty (RTSA) represents a significant advancement in this field.
• Understanding the indications, techniques, and outcomes is crucial for optimal patient management.