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

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). pp. 55-57. ISSN 1985 2533

Preview

PDF - Requires a PDF viewer such as GSview, Xpdf or Adobe Acrobat Reader
1750Kb

Affiliations

Universiti Malaysia Sarawak, Faculty of Medicine and Health Sciences
Sarawak General Hospital. Dept. of Orthopaedics
Sarawak General Hospital, Kuching, Malaysia, Dept. of Paediatric Oncology

Abstract

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 6 cm 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.

Item Type:

Journal

Keywords:

Osteosarcoma, Cancer, tumours, Malaysia

Subjects:

R Medicine, Dentistry, Pharmacy, Nursing

ID Code:

10148