Proximal humerus Limb salvage for osteosarcoma.docVIP

 PAGE \* MERGEFORMAT 22 Proximal humerus Limb salvage for osteosarcoma Of: Tang Xiaodong Guo Wei Yang Rongli Li Dasen Ji Tao [Abstract] [Objective] The proximal humerus osteosarcoma clinical and imaging data were retrospectively analyzed and summarized results of limb salvage therapy, and resection of local recurrence and the relationship between range and image evaluation. [Method] 38 patients with proximal humerus osteosarcoma patients with neoadjuvant chemotherapy and limb salvage therapy for a median follow-up 43.2 months. including 5 patients underwent extra-articular resection, 33 patients received intra-articular resection, reconstruction, including custom-made prosthetic replacement of proximal humerus in 31 cases, prosthesis 4 cases of allograft composite, loaded cement prosthesis in 1 case, 2 cases of autologous bone graft. Analysis of cases of intra-articular resection of the image data to determine whether the glenoid and the deltoid may be violated. [results] in 5 cases (13.2% patients with local recurrence. articular resection of the recurrence rate was 20% (1 / 5, intra-articular resection was 12.1% (4 / 33. In an interview with intra-articular resection of the patients, 7 cases of image assessment and the deltoid muscle by the glenoid violations, including 4 patients with local recurrence. the overall 5-year patient survival rate was 56.4%, disease-free survival was 40.5%. Complications included 2 cases of autologous bone fracture, 1 case of upper limb arterial embolization combined radial nerve injury, 4 cases of intra-articular Prosthetic reconstruction of resected patients with shoulder instability, the overall complication rate was 18.4% (7/38.MSTS upper extremity function score was 22.7 points (75.6%. articular resection of the shoulder in patients with active outreach programs are not more than 30 °, the average intra-articular resection of the patient was 45 °. [Conclusion] The imaging is not violated glenoid or proximal humerus del