Comparison of reconstructive techniques for nonprimary malignancies in the proximal humerus.

Cohort studyJournal of surgical oncology· Jul 2024

Comparison of reconstructive techniques for nonprimary malignancies in the proximal humerus.

Mikaela H Sullivan, Alexandra M Arguello, Jonathan D Barlow … Matthew T Houdek

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OrthopedicsCohort studyTreatmentQ2IF 1.9

Hemiarthroplasty carried far higher odds of complications than reverse arthroplasty for humerus metastases.

Comparison of reconstructive techniques for nonprimary malignancies in the proximal humerus.

Mikaela H Sullivan … Matthew T Houdek

Journal of surgical oncology · Jul 2024 · Q2 in General Medicine

Background

Endoprostheses (EPC) are often utilized for reconstruction of the proximal humerus with either hemiarthroplasty (hemiarthroplasty) or reverse arthroplasty (reverse arthroplasty) constructs.

Purpose

The aim of this study is to compare functional outcomes and complications between hemiarthroplasty and reverse arthroplasty constructs in patients undergoing endoprosthetic reconstruction for proximal humerus metastases.

Methods

We retrospectively reviewed our institutional arthroplasty database to identify 66 (56% male; 38 hemiarthroplasty and 28 reverse arthroplasty) patients with a proximal humerus reconstruction for a non-primary malignancy.

n = 66 patients

odds ratio 13

Results

odds ratio 13

hemiarthroplasty had far higher complication odds than reverse arthroplasty

n = 66 patients

“

Conclusion · 1 of 2

Patients with nonprimary malignancies of the proximal humerus had improved functional outcomes and fewer complications after undergoing reconstruction with a reverse EPC compared to a hemiarthroplasty EPC.

Conclusion · 2 of 2

Preference for reverse EPC should be given in patients with good prognosis and ability to complete postoperative rehabilitation.

Comparison of reconstructive techniques for nonprimary malignancies in the proximal humerus.

Comparison of reconstructive techniques for nonprimary malignancies in the proximal humerus.

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