Composite reverse shoulder arthroplasty can provide good function and quality of life in cases of malignant tumour of the proximal humerus.

Abstract:

PURPOSE:Management of proximal humeral tumours remains a surgical challenge. No study to date has assessed the quality of life scores following the composite reverse shoulder arthroplasty for this indication. We, therefore, evaluated function and quality of life following reconstruction with allograft for malignant tumour of the humerus. METHODS:A series of six cases of humeral tumour treated by a single surgeon in a single centre was reviewed after a mean follow-up of 5.9 years. The tumours included two chondrosarcomas, one plasmocytoma and three metastases. Resection involved bone epiphysis, metaphysis and diaphysis in five cases (S3S4S5A) and epiphysis and metaphysis in one case (S3S4A). For reconstruction, an allograft composite reverse shoulder arthroplasty was used in all the cases. Outcomes were assessed with range of motion, the QuickDash score and the Short Form 12 (SF-12) Health Survey. Radiographs assessed osseointegration and complications. RESULTS:At the final follow-up, the mean shoulder range of motion were respectively 95°, 57° and 11° for forward flexion, abduction and external rotation. Mean QuickDASH score improved from 28 to 41 and VAS-pain scores improved from 5.1 to 2.3. The post-operative MSTS score was 73% and the Constant score was 46.1/100. The SF-12 PCS and MCS scores were also improved, respectively from 44.4 and 39.7 to 45.5 and 56.1. The mean satisfaction score was 8.1/10. CONCLUSIONS:Composite reverse shoulder arthroplasty is a viable alternative for reconstruction after resection of malignant humeral tumour. Although total tumour resection was the most important objective, the functional and quality of life scores were satisfactory.

journal_name

Int Orthop

authors

Lazerges C,Dagneaux L,Degeorge B,Tardy N,Coulet B,Chammas M

doi

10.1007/s00264-017-3538-7

subject

Has Abstract

pub_date

2017-12-01 00:00:00

pages

2619-2625

issue

12

eissn

0341-2695

issn

1432-5195

pii

10.1007/s00264-017-3538-7

journal_volume

41

pub_type

杂志文章
  • A descriptive study of potential effect of anterior tibial translation, femoral tunnel and anterior cruciate ligament graft inclination on clinical outcome and degenerative changes.

    abstract:INTRODUCTION:There is no evidence that anatomically correct anterior cruciate ligament reconstruction (ACLR) offers lower rate of degenerative changes development or that it would lead to a better outcome. The significance and understanding of the abnormal anterior tibial translation (ATT) in ACLR patients is yet to be...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-016-3386-x

    authors: Snoj Ž,Zupanc O,Stražar K,Salapura V

    更新日期:2017-04-01 00:00:00

  • The role of interfascicular nerve grafting after gunshot wounds. A report of 44 cases.

    abstract::In this study the authors present the results of 44 patients with 49 interfascicular nerve grafting procedures necessitated by gunshot wounds. The aim was to establish the effectiveness of microsurgical interfascicular nerve grafting for war injuries. The 49 interfascicular nerve grafting procedures were performed bet...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s002640050036

    authors: Stancić MF,Eskinja N,Bellinzona M,Mićović V,Stosić A,Tomljanović Z

    更新日期:1996-01-01 00:00:00

  • Effects of Kinesio taping compared to arterio-venous Impulse System™ on limb swelling and skin temperature after total knee arthroplasty.

    abstract:PURPOSE:It is an established fact that post-operative (p.o.) soft-tissue swelling and lymphoedema after total knee arthroplasty (TKA) have a major influence on the p.o. early functional outcome. Kinesio taping has a proven clinical effect in increasing lymph drainage. Despite the decades of experience gained and the as...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-016-3295-z

    authors: Windisch C,Brodt S,Röhner E,Matziolis G

    更新日期:2017-02-01 00:00:00

  • Stress radiography in the diagnosis of anterior cruciate ligament deficiency.

    abstract::A prospective study was carried out to test the sensitivity and specificity of stress radiography in detecting anterior cruciate ligament deficiency in both knees of 116 patients using the Telos device. In 47 of these a total or partial rupture of the anterior cruciate ligament was diagnosed by arthroscopy, while the ...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/BF00179966

    authors: Garcés GL,Perdomo E,Guerra A,Cabrera-Bonilla R

    更新日期:1995-01-01 00:00:00

  • Manipulation under anaesthesia for frozen shoulder in patients with and without non-insulin dependent diabetes mellitus.

    abstract::Manipulation under anaesthesia (MUA) has been used to speed up recovery. However, the outcome of frozen shoulder after MUA in patients with diabetes has not been well documented in the past. A higher prevalence of frozen shoulder has been reported in diabetes mellitus (DM) patients. In this study, we revealed the shor...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-010-0968-x

    authors: Wang JP,Huang TF,Ma HL,Hung SC,Chen TH,Liu CL

    更新日期:2010-12-01 00:00:00

  • Free vascularised fibular grafts in orthopaedics.

    abstract::Bony defects caused by trauma, tumors, infection or congenital anomalies can present a significant surgical challenge. Free vascularised fibular bone grafts (FVFGs) have proven to be extremely effective in managing larger defects (longer than 6 cm) where other conventional grafts have failed. FVFGs also have a role in...

    journal_title:International orthopaedics

    pub_type: 杂志文章,评审

    doi:10.1007/s00264-014-2281-6

    authors: Bumbasirevic M,Stevanovic M,Bumbasirevic V,Lesic A,Atkinson HD

    更新日期:2014-06-01 00:00:00

  • Treatment of the aneurysmal bone cyst by percutaneous intracystic sclerotherapy using ethanol ninety five percent in children.

    abstract:INTRODUCTION:Aneurysmal bone cyst (ABC) is a benign intraosseous lesion filled with blood that can determine a blowout distension of the bone. The purpose of this study is to evaluate the efficacy of sclerotherapy by percutaneous intralesional administration of ethanol 96% for the treatment of this pathology in paediat...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-018-3841-y

    authors: Ulici A,Florea DC,Carp M,Ladaru A,Tevanov I

    更新日期:2018-06-01 00:00:00

  • The effect of low dose diclofenac sodium administered locally on heterotopic bone formation in rats.

    abstract::The effect of a low dose of diclofenac sodium, administered locally, on heterotopic bone formation in rats was investigated. Heterotopic bone was induced by implantation of demineralised bone matrix into the gluteal muscles. Diclofenac was released continuously for 2 weeks from micro-osmotic pumps for each demineralis...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/BF00178357

    authors: Risto O,Wahlström O,Abdiu A

    更新日期:1995-01-01 00:00:00

  • Emergence of the alumina matrix composite in total hip arthroplasty.

    abstract::Pure alumina ceramic has been in clinical use in orthopaedics since 1971 and, currently, up to 5 million components have been implanted. Alumina offers advantages like stability, biocompatibility and low wear; however, it has limited strength. Applications are limited by design considerations. Engineers in biomaterial...

    journal_title:International orthopaedics

    pub_type: 杂志文章,评审

    doi:10.1007/s00264-007-0484-9

    authors: Masson B

    更新日期:2009-04-01 00:00:00

  • The microbiology of the infected knee arthroplasty.

    abstract::We describe the results of a retrospective analysis of patients with microbiologically proven infection, who underwent revision TKA between 1994 and 2008. Of the 121 patients included in the study, 61 (50%) were male and 60 (50%) were female. The mean age was 71 (range 42-88) years. The most common organisms identifie...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-009-0797-y

    authors: Nickinson RS,Board TN,Gambhir AK,Porter ML,Kay PR

    更新日期:2010-04-01 00:00:00

  • Blood loss in computer-assisted mobile bearing total knee arthroplasty. A comparison of computer-assisted surgery with a conventional technique.

    abstract::Computer-assisted surgery (CAS) in total knee arthroplasty (TKA) could be useful in reducing the overall blood loss. A prospective randomised study was performed with two groups of 50 patients each of whom were treated for knee arthritis. Patients of group A were treated by a conventional standard procedure, while for...

    journal_title:International orthopaedics

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s00264-008-0651-7

    authors: Conteduca F,Massai F,Iorio R,Zanzotto E,Luzon D,Ferretti A

    更新日期:2009-12-01 00:00:00

  • Lesions produced by splinters of wood in soft tissues and bone.

    abstract::Lesions produced by splinters of wood in the soft tissues and bones of the limbs are not uncommon and may be difficult to diagnose. A detailed history and a high index of suspicion are the key to making the correct diagnosis. Investigations are usually inconclusive. Complete excision results in prompt resolution. ...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/BF00183364

    authors: Middha VP,Vaishya R

    更新日期:1990-01-01 00:00:00

  • Proximal humeral fractures with minimal displacement treated conservatively.

    abstract::We reviewed 27 patients with a minimally displaced proximal humeral fracture treated conservatively after a mean follow-up of 25 (12-34) months. All fractures had united. Patients were evaluated using the Constant-Murley scoring system, and isokinetic muscle strength was tested using a Cybex dynamometer. Finally, all ...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-004-0552-3

    authors: Keser S,Bölükbaşi S,Bayar A,Kanatli U,Meray J,Ozdemir H

    更新日期:2004-08-01 00:00:00

  • Chondromyxoid fibroma of the foot and ankle: 40 years' Scottish bone tumour registry experience.

    abstract::Ten cases of histologically proven chondromyxoid fibroma (CMF) of the foot and ankle with a mean follow-up of 6.1 years were retrospectively reviewed using the Scottish Bone Tumour Registry. The patients' mean age was 19 years; there were six males and four females. The anatomical locations were five phalangeal, three...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-005-0046-y

    authors: Sharma H,Jane MJ,Reid R

    更新日期:2006-06-01 00:00:00

  • Fractioned drilling--a technique for wedge osteotomy of the knee.

    abstract::High tibial wedge osteotomies are often followed by transient neurological complications. From a retrospective study of 132 patients it appears that the incidence of this troublesome complication can be reduced after osteotomy with external fixation by using a technique of making consecutive drill holes of increasing ...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/BF00178347

    authors: Sabo D,Flierl S,Thomsen M,Cotta H

    更新日期:1995-01-01 00:00:00

  • Quality of life of patients with osteonecrosis of the femoral head: a multicentre study.

    abstract:PURPOSE:Quality-of-life (QOL) assessments in patients with osteonecrosis of the femoral head (ONFH) have rarely been reported. This multicentre study aimed to elucidate the relationship between disease severity, including necrotic lesion type and radiological staging, and QOL, as well as between patients' characteristi...

    journal_title:International orthopaedics

    pub_type: 杂志文章,多中心研究

    doi:10.1007/s00264-018-3897-8

    authors: Uesugi Y,Sakai T,Seki T,Hayashi S,Nakamura J,Inaba Y,Takahashi D,Sasaki K,Motomura G,Mashima N,Kabata T,Sudo A,Jinno T,Ando W,Nagoya S,Yamamoto K,Nakasone S,Ito H,Yamamoto T,Sugano N

    更新日期:2018-07-01 00:00:00

  • Free vascularised fibular grafting with OsteoSet®2 demineralised bone matrix versus autograft for large osteonecrotic lesions of the femoral head.

    abstract::The aim of this study was to compare the safety and efficacy of OsteoSet®2 DBM with autologous cancellous bone in free vascularised fibular grafting for the treatment of large osteonecrotic lesions of the femoral head. Twenty-four patients (30 hips) with large osteonecrotic lesions of the femoral head (stage IIC in si...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-009-0915-x

    authors: Feng Y,Wang S,Jin D,Sheng J,Chen S,Cheng X,Zhang C

    更新日期:2011-04-01 00:00:00

  • Greater accuracy in positioning of the acetabular cup by using an image-free navigation system.

    abstract::In a prospective and randomised clinical study, acetabular cups were implanted free-hand (control group n=22) or with computer assistance using an image-free navigation system (study group n=23). The cup position was determined postoperatively on pelvic CT. An average inclination of 42.3 degrees (range: 30 degrees -53...

    journal_title:International orthopaedics

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s00264-005-0671-5

    authors: Kalteis T,Handel M,Herold T,Perlick L,Baethis H,Grifka J

    更新日期:2005-10-01 00:00:00

  • [Articular irrigation in arthroscopy].

    abstract::Synovial oedema is a frequent complication in arthroscopic procedures performed with normal saline as the irrigating fluid. The authors have studied the effect of saline solution, Ringer lactate, 5% Dextran and 10% Dextran in normal saline on 12 specimens of human synovial membrane. They found that 10% Dextran in norm...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:

    authors: Martinez Moreno JL,Vaquero Martin FJ

    更新日期:1986-01-01 00:00:00

  • Results of lateral ankle ligament repair surgery in one hundred and nineteen patients: do surgical method and arthroscopy timing matter?

    abstract:PURPOSE:Ankle sprains are the most common athletic injury. One of five chronic lateral ankle instability patients will require surgery, making operative outcomes crucial. The purpose of this study is to determine if operative method influences failure and complication rates in chronic lateral ankle ligament repair surg...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-017-3617-9

    authors: Araoye I,De Cesar Netto C,Cone B,Hudson P,Sahranavard B,Shah A

    更新日期:2017-11-01 00:00:00

  • Effect of collagen supplementation on osteoarthritis symptoms: a meta-analysis of randomized placebo-controlled trials.

    abstract:PURPOSE:Osteoarthritis (OA) is one of the most common causes of disability and a prevalent chronic disease. The use of collagen is growing due to the satisfactory results in the treatment of OA. However, the possible beneficial effects of collagen for the treatment of OA are currently controversial. The aim of the pres...

    journal_title:International orthopaedics

    pub_type: 杂志文章,meta分析,评审

    doi:10.1007/s00264-018-4211-5

    authors: García-Coronado JM,Martínez-Olvera L,Elizondo-Omaña RE,Acosta-Olivo CA,Vilchez-Cavazos F,Simental-Mendía LE,Simental-Mendía M

    更新日期:2019-03-01 00:00:00

  • The incidence of vertebral body metastases.

    abstract::Over 10 years, 842 consecutive autopsies on patients dying from a malignant neoplasm were evaluated microscopically to determine the incidence of spinal and skeletal metastases. Vertebral wedging, sclerosis and areas of osteolysis were defined as features of spinal metastases. The incidence was 30.6%, 65% of which aro...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/BF00181116

    authors: Ortiz Gómez JA

    更新日期:1995-01-01 00:00:00

  • [Multiple perforation in cryogenically preserved bone allografts. Comparative histological and microradiographic study of perforated and non-perforated allograft in sheep].

    abstract::Incorporation of massive cortical bone allografts in the human is slow and remains incomplete. Late biopsies of implanted allografts or histological studies of explanted allografts always show the partial substitution of necrotic bone by new bone from the host. The aim of the present study was to evaluate the value of...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/BF00183550

    authors: Simon P,Babin SR,Delloye C,Schmitt D

    更新日期:1993-01-01 00:00:00

  • Periprosthetic joint infection--effect on quality of life.

    abstract:PURPOSE:Relatively little is known about the extent to which periprosthetic joint infections (PJI) affect the patient's long-term quality of life (QoL). Our study aim was to assess the effect of a periprosthetic infection on our patients' QoL. METHODS:We collected data retrospectively of patients who had undergone sur...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-013-2265-y

    authors: Helwig P,Morlock J,Oberst M,Hauschild O,Hübner J,Borde J,Südkamp NP,Konstantinidis L

    更新日期:2014-05-01 00:00:00

  • Percutaneous discectomy of the lumbar spine.

    abstract::Ten patients with clinical and radiological evidence of herniated discs at lower lumbar levels were treated with partial discectomy by a lateral percutaneous approach. Eight patients had complete relief from radicular pain and were discharged within four days. They returned to normal daily activity within one month. ...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/BF00271309

    authors: Caspi I,Ezra E,Nerubay J,Lin E,Tadmor R,Horoszovski H

    更新日期:1987-01-01 00:00:00

  • Gait characteristics before hardware removal in patients operated upon for tibial plateau fractures.

    abstract:PURPOSE:The reporting of gait analysis data on operated fractures of the tibial plateau, while extensive for studies of knee osteoarthritis of mostly undisclosed aetiology and ACL deficient knees, is rather limited in literature. METHODS:In the present study we investigated 25 tibial plateau fractures classified as Sc...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-015-2691-0

    authors: Deleanu B,Prejbeanu R,Crisan D,Predescu V,Popa I,Poenaru DV

    更新日期:2015-07-01 00:00:00

  • Post-operative retransfusion of unwashed filtered shed blood reduces allogenic blood demand in hip hemiarthroplasty in traumatic femoral neck fractures-a prospective randomized trial.

    abstract:PURPOSE:Patients who undergo hip hemiarthroplasty (HHA) due to traumatic femoral neck fracture frequently require red blood cell (RBC) transfusion. Although post-operative autologous blood transfusion (ABT) is well established in elective arthroplasty, its role in trauma patients remains unclear. METHODS:Two hundred t...

    journal_title:International orthopaedics

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s00264-016-3143-1

    authors: Starlinger J,Schmidt R,Machold W

    更新日期:2016-12-01 00:00:00

  • A novel in vivo porcine model of intervertebral disc degeneration induced by cryoinjury.

    abstract:PURPOSE:Degenerative disc disease involves sequential events that lead to the loss of cells, a decrease in disc matrix production, disc dehydration, and alteration of its biomechanical properties. The aim of this study was to determine whether cryoinjury of the nucleus pulposus performed through endplate perforation co...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-018-3971-2

    authors: Flouzat-Lachaniette CH,Jullien N,Bouthors C,Beohou E,Laurent B,Bierling P,Dubory A,Rouard H

    更新日期:2018-09-01 00:00:00

  • Oblique tibial osteotomy for rotational and varus deformities in children.

    abstract::A technique of oblique tibial osteotomy is described which is effective in correcting varus and medial rotational deformities in young children. The oblique cut in one plane corrects both elements of the deformity at the same time. We have used the method on both legs in four children and satisfactory results were obt...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/BF00183361

    authors: Eguchi M,Ogata K,Kawamura H,Shiota E,Sugioka Y

    更新日期:1990-01-01 00:00:00

  • What types of degenerative lumbar pathologies respond to nerve root injection? A retrospective review of six hundred and forty one cases.

    abstract:PURPOSE:Peri-radicular injection is a widely used procedure for treating lumbar radicular pain, but it remains unclear what types of lumbar pathologies respond well to this treatment. We aimed to investigate the efficacy of peri-radicular injection for degenerative lumbar disorders and to determine what types of pathol...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-015-2761-3

    authors: Kanayama M,Oha F,Hashimoto T

    更新日期:2015-07-01 00:00:00