Expandable Total Humeral Replacement in a Child with Osteosarcoma

Expandable Total Humeral Replacement in a Child with Osteosarcoma

Case. A right-handed 8-year-old female patient presented with a conventional, high-grade osteosarcoma involving her right humerus; through-shoulder amputation was recommended. After consultation, total humerus resection with expandable, total humeral endoprosthesis reconstruction was performed with...

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Main Authors: Eric R. Henderson, Jidi Gao, John Groundland, Odion Binitie, G. Douglas Letson
Format: Article
Language:English
Published: Hindawi Limited 2015-01-01
Series:Case Reports in Orthopedics
Online Access:http://dx.doi.org/10.1155/2015/690159
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spelling doaj-27f0307206d5447c961482e92c262d2d2020-11-25T00:14:07ZengHindawi LimitedCase Reports in Orthopedics2090-67492090-67572015-01-01201510.1155/2015/690159690159Expandable Total Humeral Replacement in a Child with OsteosarcomaEric R. Henderson0Jidi Gao1John Groundland2Odion Binitie3G. Douglas Letson4Sarcoma and Connective Tissue Oncology Program, Department of Orthopaedic Surgery, Norris Cotton Cancer Center, Dartmouth-Hitchcock Medical Center, The Geisel School of Medicine at Dartmouth College, One Medical Center Drive, Lebanon, NH 03756, USAThe Geisel School of Medicine at Dartmouth College, Hanover, NH 03755, USADepartment of Orthopaedic Surgery, University of South Florida, MDC 106, Tampa, FL 33612, USASarcoma Division, Moffitt Cancer Center & Research Institute, 12902 Magnolia Drive, Tampa, FL 33612, USASarcoma Division, Moffitt Cancer Center & Research Institute, 12902 Magnolia Drive, Tampa, FL 33612, USACase. A right-handed 8-year-old female patient presented with a conventional, high-grade osteosarcoma involving her right humerus; through-shoulder amputation was recommended. After consultation, total humerus resection with expandable, total humeral endoprosthesis reconstruction was performed with a sleeve to encourage soft-tissue ingrowth. At three-year follow-up she has received one lengthening procedure and her functional scores are excellent. Conclusion. Total humeral resection and replacement in the pediatric population are rare and although early reports of expandable total humeral endoprosthesis outcomes demonstrate high failure rates, this patient’s success indicates that expandable total humeral replacement is a viable option.http://dx.doi.org/10.1155/2015/690159
collection DOAJ
language English
format Article
sources DOAJ
author Eric R. Henderson
Jidi Gao
John Groundland
Odion Binitie
G. Douglas Letson
spellingShingle Eric R. Henderson
Jidi Gao
John Groundland
Odion Binitie
G. Douglas Letson
Expandable Total Humeral Replacement in a Child with Osteosarcoma
Case Reports in Orthopedics
author_facet Eric R. Henderson
Jidi Gao
John Groundland
Odion Binitie
G. Douglas Letson
author_sort Eric R. Henderson
title Expandable Total Humeral Replacement in a Child with Osteosarcoma
title_short Expandable Total Humeral Replacement in a Child with Osteosarcoma
title_full Expandable Total Humeral Replacement in a Child with Osteosarcoma
title_fullStr Expandable Total Humeral Replacement in a Child with Osteosarcoma
title_full_unstemmed Expandable Total Humeral Replacement in a Child with Osteosarcoma
title_sort expandable total humeral replacement in a child with osteosarcoma
publisher Hindawi Limited
series Case Reports in Orthopedics
issn 2090-6749
2090-6757
publishDate 2015-01-01
description Case. A right-handed 8-year-old female patient presented with a conventional, high-grade osteosarcoma involving her right humerus; through-shoulder amputation was recommended. After consultation, total humerus resection with expandable, total humeral endoprosthesis reconstruction was performed with a sleeve to encourage soft-tissue ingrowth. At three-year follow-up she has received one lengthening procedure and her functional scores are excellent. Conclusion. Total humeral resection and replacement in the pediatric population are rare and although early reports of expandable total humeral endoprosthesis outcomes demonstrate high failure rates, this patient’s success indicates that expandable total humeral replacement is a viable option.
url http://dx.doi.org/10.1155/2015/690159
work_keys_str_mv AT ericrhenderson expandabletotalhumeralreplacementinachildwithosteosarcoma
AT jidigao expandabletotalhumeralreplacementinachildwithosteosarcoma
AT johngroundland expandabletotalhumeralreplacementinachildwithosteosarcoma
AT odionbinitie expandabletotalhumeralreplacementinachildwithosteosarcoma
AT gdouglasletson expandabletotalhumeralreplacementinachildwithosteosarcoma
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