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Reconstruction with Composite Cement-Autoclaved Autograft after a Near-Total Excision of the Humerus for Osteosarcoma: A Case Report

Osteosarcoma occurring in the humerus is often confined to the proximal part, in which case, reconstruction after excision is less daunting. When the tumour spreads down the medullary cavity distally, a total humeral replacement is often required. This is costly and beyond the means of the average p...

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Main Authors: Pan, K.L., Zolqarnain, A., Ong, G.B.
Format: E-Article
Language:English
Published: Malaysian Orthopaedic Journal 2009
Subjects:
Q Science (General)
R Medicine (General)
Online Access:http://ir.unimas.my/id/eprint/2473/1/Reconstruction%20with%20Composite%20Cement-Autoclaved%20Autograft%20after%20a%20Near-Total%20Excision%20of%20the%20Humerus%20for%20Osteosarcoma%20A%20Case%20Report.pdf
http://ir.unimas.my/id/eprint/2473/
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spelling my.unimas.ir.24732015-03-19T08:04:11Z http://ir.unimas.my/id/eprint/2473/ Reconstruction with Composite Cement-Autoclaved Autograft after a Near-Total Excision of the Humerus for Osteosarcoma: A Case Report Pan, K.L. Zolqarnain, A. Ong, G.B. Q Science (General) R Medicine (General) Osteosarcoma occurring in the humerus is often confined to the proximal part, in which case, reconstruction after excision is less daunting. When the tumour spreads down the medullary cavity distally, a total humeral replacement is often required. This is costly and beyond the means of the average patient in a developing country. An amputation is often the procedure of first resort. We report a 13-year-old boy with osteosarcoma originating from the left proximal humerus, with involvement of the marrow reaching down to the distal diaphyseal-metaphyseal junction, leaving only 6cm of the distal humerus intact after wide resection. Reconstruction of the defect was done with a composite cement-autoclaved autograft fixed to the remaining humerus with a plate. At 40 months of follow-up, the patient is well with normal function of the elbow, wrist and hand. Salvaging the limb despite near total involvement of the humerus by high grade osteosarcoma is possible using material available in the average orthopaedic operating room. Malaysian Orthopaedic Journal 2009 E-Article NonPeerReviewed text en http://ir.unimas.my/id/eprint/2473/1/Reconstruction%20with%20Composite%20Cement-Autoclaved%20Autograft%20after%20a%20Near-Total%20Excision%20of%20the%20Humerus%20for%20Osteosarcoma%20A%20Case%20Report.pdf Pan, K.L. and Zolqarnain, A. and Ong, G.B. (2009) Reconstruction with Composite Cement-Autoclaved Autograft after a Near-Total Excision of the Humerus for Osteosarcoma: A Case Report. Malaysian Orthopaedic Journal, 3 (2).
institution Universiti Malaysia Sarawak
building Centre for Academic Information Services (CAIS)
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Malaysia Sarawak
content_source UNIMAS Institutional Repository
url_provider http://ir.unimas.my/
language English
topic Q Science (General)
R Medicine (General)
spellingShingle Q Science (General)
R Medicine (General)
Pan, K.L.
Zolqarnain, A.
Ong, G.B.
Reconstruction with Composite Cement-Autoclaved Autograft after a Near-Total Excision of the Humerus for Osteosarcoma: A Case Report
description Osteosarcoma occurring in the humerus is often confined to the proximal part, in which case, reconstruction after excision is less daunting. When the tumour spreads down the medullary cavity distally, a total humeral replacement is often required. This is costly and beyond the means of the average patient in a developing country. An amputation is often the procedure of first resort. We report a 13-year-old boy with osteosarcoma originating from the left proximal humerus, with involvement of the marrow reaching down to the distal diaphyseal-metaphyseal junction, leaving only 6cm of the distal humerus intact after wide resection. Reconstruction of the defect was done with a composite cement-autoclaved autograft fixed to the remaining humerus with a plate. At 40 months of follow-up, the patient is well with normal function of the elbow, wrist and hand. Salvaging the limb despite near total involvement of the humerus by high grade osteosarcoma is possible using material available in the average orthopaedic operating room.
format E-Article
author Pan, K.L.
Zolqarnain, A.
Ong, G.B.
author_facet Pan, K.L.
Zolqarnain, A.
Ong, G.B.
author_sort Pan, K.L.
title Reconstruction with Composite Cement-Autoclaved Autograft after a Near-Total Excision of the Humerus for Osteosarcoma: A Case Report
title_short Reconstruction with Composite Cement-Autoclaved Autograft after a Near-Total Excision of the Humerus for Osteosarcoma: A Case Report
title_full Reconstruction with Composite Cement-Autoclaved Autograft after a Near-Total Excision of the Humerus for Osteosarcoma: A Case Report
title_fullStr Reconstruction with Composite Cement-Autoclaved Autograft after a Near-Total Excision of the Humerus for Osteosarcoma: A Case Report
title_full_unstemmed Reconstruction with Composite Cement-Autoclaved Autograft after a Near-Total Excision of the Humerus for Osteosarcoma: A Case Report
title_sort reconstruction with composite cement-autoclaved autograft after a near-total excision of the humerus for osteosarcoma: a case report
publisher Malaysian Orthopaedic Journal
publishDate 2009
url http://ir.unimas.my/id/eprint/2473/1/Reconstruction%20with%20Composite%20Cement-Autoclaved%20Autograft%20after%20a%20Near-Total%20Excision%20of%20the%20Humerus%20for%20Osteosarcoma%20A%20Case%20Report.pdf
http://ir.unimas.my/id/eprint/2473/
_version_ 1644509097887793152
score 13.211869

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