AI Article Synopsis
- Total humeral endoprosthetic reconstruction (THER) is a rare but essential option for limb salvage in patients with large humeral tumors or significant bone damage.
- A literature review of 29 articles involving 175 patients showed that most cases were due to neoplasms, with a follow-up period averaging nearly 62 months and a Musculoskeletal Tumor Society score of about 74%.
- Complications included revisions in 23% of cases, shoulder instability in 36%, and deep infections in 13.5%, highlighting the importance of understanding potential risks associated with THER.
Article Abstract
Background: Total humeral endoprosthetic reconstruction (THER) is a rare reconstruction option for limb salvage surgery for large humeral neoplasms or bone destruction.
Materials And Methods: Because of the limited data and need for this procedure, we reviewed the literature surrounding THER and assessed functionality, complications, and revisions using the PubMed, Embase, Ovid, and Scopus databases.
Results: Among 29 articles and 175 patients, the most common indication was neoplasm (n=25, 86%), mean follow-up was 61.98 months (SD=55.25 months), and mean Musculoskeletal Tumor Society score was 73.64% (SD=10.69%). Reported complications included 26 (23%) revisions in 7 studies, 35 (36%) cases of shoulder instability in 7 studies, and 13 (13.54%) cases of deep infection in 4 studies.
Conclusion: THER should be considered with a thorough knowledge of outcomes and potential complications to guide patient and clinician expectations. [. 2024;47(3):e106-e113.].
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| http://dx.doi.org/10.3928/01477447-20240424-01 | DOI Listing |
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