NDLI: Radial Shaft Reconstruction With an Intercalary Endoprosthesis Following Resection of Metastatic Tumor.

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Radial Shaft Reconstruction With an Intercalary Endoprosthesis Following Resection of Metastatic Tumor.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Gibson, Peter D. Ippolito, Joseph A. Benevenia, Joseph
Abstract	Improvements in imaging and treatment of musculoskeletal tumors have increased the variety of options for reconstruction following joint-sparing diaphyseal resection. The purpose of this case series was to show that reconstruction of malignant tumors of the radial shaft with an intercalary prosthesis may be an option for patients with segmental bone loss. Three consecutive patients underwent wide resection of the radial diaphysis followed by reconstruction with a custom intercalary prosthesis. A custom intercalary prosthesis with lap joint design was used in all 3 cases. Mean follow-up was 18 months (range, 9-25 months). All patients were weight bearing as tolerated 1 week postoperatively. At the most recent follow-up, patients' mean elbow flexion and extension arc was 137° (range, 130°-140°). At the forearm, mean supination was 60° (range, 30°-90°) and mean pronation was 70° (range, 60°-90°). At the wrist, mean palmar flexion was 80° (range, 70°-90°) and mean dorsiflexion was 80° (range, 70°-90°). All patients reported minimal to no pain and no significant functional limitations. Mean Musculoskeletal Tumor Society score was 26/30 (87%). Reconstruction with an intercalary prosthesis is a viable option for patients with metastatic disease of the radial shaft. All patients had satisfactory results and early return to function; none required return to the operating room. Possible advantages of reconstruction with an intercalary prosthesis compared with reconstruction with a bone graft or polymethylmethacrylate osteosynthesis include early return to function and minimal weight-bearing restrictions postoperatively. [Orthopedics. 201x; xx(x):exx-exx.].
File Format	HTM / HTML
ISSN	01477447
e-ISSN	19382367
Journal	Orthopedics
Language	English
Publisher	SLACK Incorporated
Publisher Date	2016-09-08
Publisher Place	United States
Access Restriction	Open
Subject Keyword	Orthopedics Musculoskeletal
Content Type	Text
Resource Type	Article
Subject	Orthopedics and Sports Medicine Surgery

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