Is there an ideal method of reconstruction for proximal humerus osteosarcoma? A review of different reconstruction techniques

Authors

  • Muhammad Ibrahim Department of Orthopaedic Surgery, Hayatabad Medical Complex, Peshawar, Pakistan https://orcid.org/0000-0002-1496-0892
  • Syed Asif Shah Department of Plastic and Micro Vascular Surgery, Burns and Plastic Surgery centre, Peshawar, Pakistan
  • Israr Ahmed Department of Orthopaedic and Spine, Hayatabad Medical Complex, Peshawar, Pakistan
  • Muhammad Arif Khan Department of Orthopaedic and Spine, Hayatabad Medical Complex, Peshawar, Pakistan
  • Zeeshan Khan Department of Orthopaedic Surgery, Rehman Medical Institute, Peshawar, Pakistan

DOI:

https://doi.org/10.47391/JPMA.5452

Abstract

Osteosarcoma is the commonest primary bone malignancy occurring in patients aged <20, and humerus is the third most common site affected by it. In the past, ablative surgery with poor functional outcomes was the only option, but due to advances in chemotherapy, medical imaging and surgical techniques, patient survivorship and the rate of limb salvage surgery has increased significantly. Over the decades many treatment options have been proposed for the reconstruction of the defect following extirpation of the tumour in the proximal humerus, with every procedure having its merits and demerits. However, there is no agreement on the preferred treatment even in similar age groups, and the best way to reconstruct the proximal humerus remains debatable because the restoration of the function of the shoulder girdle remains primarily dependant on the extent of muscle-loss during tumour resection, available surgical expertise and financial constraints in different health systems.

---Continue

Author Biographies

Muhammad Ibrahim, Department of Orthopaedic Surgery, Hayatabad Medical Complex, Peshawar, Pakistan

Resident Orthopedic Surgeon, Orthopedic & Spine unit, Hayatabad Medical Complex, Peshawar.

Israr Ahmed, Department of Orthopaedic and Spine, Hayatabad Medical Complex, Peshawar, Pakistan

Associate Professor, Orthopedics & Spine unit, Hayatabad Medical Complex.

Muhammad Arif Khan, Department of Orthopaedic and Spine, Hayatabad Medical Complex, Peshawar, Pakistan

Professor and Head of the department, Orthopedics & Spine unit, Hayatabad Medical Complex.

Zeeshan Khan, Department of Orthopaedic Surgery, Rehman Medical Institute, Peshawar, Pakistan

Associate Professor Orthopedics and Trauma, Rehman Medical Institute, Peshawar.

Published

2023-04-15

Issue

Section

Review Article