Reverse Allograft Prosthetic-Composite Versus Endoprosthesis Reconstruction for Massive Proximal Humerus…

Cohort studyIndian journal of orthopaedics· Oct 2024

Reverse Allograft Prosthetic-Composite Versus Endoprosthesis Reconstruction for Massive Proximal Humerus Bone Loss: A Systematic Review and Meta-analysis of Outcomes and Complications.

Kevin A Hao, Caroline T Gutowski, Victoria E Bindi … Keegan M Hones

Orthopedic OncologyCohort studyTreatmentQ3IF 1.6

Allograft-prosthetic composite reconstruction had higher revision surgery rate than endoprosthesis

Reverse Allograft Prosthetic-Composite Versus Endoprosthesis Reconstruction for Massive Proximal Humerus Bone Loss: A Systematic Review and Meta-analysis of Outcomes and Complications.

Kevin A Hao … Keegan M Hones

Indian journal of orthopaedics · Oct 2024 · Q3 in Orthopedics

Purpose

This systematic review and meta-analysis sought to compare the clinical outcomes after proximal humerus reconstruction with a reverse allograft-prosthetic composite (allograft-prosthetic composite) versus reverse endoprosthesis.

Methods

We compared postoperative range of motion, outcome scores, and the incidence of complications and revision surgery.

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Results

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12% of allograft-composite patients needed revision surgery, versus 7% after endoprosthesis reconstruction.

n = 18 articles

More results

There were no significant differences between the allograft-prosthetic composite and endoprosthesis cohort for postoperative forward elevation ( P = .231), external rotation ( P = .634), ASES score ( P = .420), Constant score ( P = .414), MSTS ( P = .815), SST ( P = .367), or VAS ( P = .714).

More results

Rate of complications was 15% (31/213) in the allograft-prosthetic composite cohort and 19% (27/144) in the endoprosthesis cohort.

Allograft-prosthetic composite-specific complications included a 10% allograft-prosthetic composite nonunion/malunion/resorption rate and 6% allograft-prosthetic composite fracture/fragmentation rate.

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Conclusion

SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s43465-024-01248-7.

Reverse Allograft Prosthetic-Composite Versus Endoprosthesis Reconstruction for Massive Proximal Humerus Bone Loss: A Systematic Review and Meta-analysis of Outcomes and Complications.

Reverse Allograft Prosthetic-Composite Versus Endoprosthesis Reconstruction for Massive Proximal Humerus Bone Loss: A Systematic Review and Meta-analysis of Outcomes and Complications.

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