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Publication Detail
Proximal ulna endoprosthetic replacement for bone tumours in young patients.
  • Publication Type:
    Journal article
  • Publication Sub Type:
    Journal Article
  • Authors:
    Sewell MD, Hanna SA, Pollock RC, Aston WJ, Skinner JA, Blunn GW, Cannon SR, Briggs TWR
  • Publication date:
  • Pagination:
    1039, 1044
  • Journal:
    Int Orthop
  • Volume:
  • Issue:
  • Status:
  • Country:
  • Language:
  • Keywords:
    Adolescent, Adult, Bone Neoplasms, Child, Female, Follow-Up Studies, Humans, Limb Salvage, Male, Postoperative Complications, Prosthesis Design, Prosthesis Implantation, Retrospective Studies, Treatment Outcome, Ulna, Young Adult
PURPOSE: The optimal reconstructive method after resection of malignant bone tumours of the proximal ulna is unknown.We report the outcome of endoprosthetic replacement in a young patient population. METHODS: This was a retrospective review of four patients[three males and one female; mean age 17.5 (range 11–31)years] who underwent limb salvage with a proximal ulnar endoprosthetic replacement following excision of malignant bone tumour. Mean follow-up was 85 (range 14–194) months. RESULTS: All patients were alive at final follow-up and reported an improvement in pain. One patient required transhumeral amputation for intralesional excision complicating a local recurrence at one month. Two patients developed fixed flexion deformities of the elbow, one of whom required radial-head excision. Mean Musculoskeletal Tumour Society (MSTS)score and Toronto Extremity Salvage Score (TESS) were 27(range 25–28) and 81 (73–88), respectively. CONCLUSIONS: Custom-made proximal ulna endoprosthetic replacement following resection of malignant bone tumours in young patients provides a stable reconstruction option with satisfactory function and without apparent compromise in patient survival.
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