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Oncologic reconstruction of the proximal humerus with a reverse total shoulder arthroplasty megaprosthesis
Author(s) -
Grosel Timothy W.,
Plummer Darren R.,
Mayerson Joel L.,
Scharschmidt Thomas J.,
Barlow Jonathan D.
Publication year - 2018
Publication title -
journal of surgical oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.201
H-Index - 111
eISSN - 1096-9098
pISSN - 0022-4790
DOI - 10.1002/jso.25061
Subject(s) - medicine , arthroplasty , surgery , orthopedic surgery , proximal humerus , humerus , resection , rotator cuff
Background and Purpose Both malignant and benign tumors of the proximal humerus may necessitate resection of a substantial portion of the proximal humerus, making reconstruction options challenging. While hemiarthroplasty has been a classic treatment, reverse total shoulder replacement may provide better pain relief and function for these patients. Methods We utilize a two‐surgeon approach for these challenging cases. The orthopedic oncologist resects the tumor. A shoulder‐trained surgeon implants the reverse shoulder replacement. Modern implants, with large glenospheres and modular components, can allow reliable, straightforward reconstructions for these patients. We prefer 6 weeks of postoperative immobilization to decrease the risk of instability. Results We have completed 13 reverse total shoulder replacements for oncologic shoulder resections, with acceptable clinical outcomes and no complications to date. Conclusion Reverse total shoulder replacement with long‐stem, modular components can reliably and reproducibly reconstruct the shoulder in patients with oncologic resections of the proximal humerus.