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KMID : 0613320000060020053
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Journal of the Korean Bone and Joint Tumor Soceity
2000 Volume.6 No. 2 p.53 ~ p.60
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Limb Salvage Surgery with Intramedullary Nailing and Cementization for the Bone Tumors of the Proximal Humerus
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Kim Han-Soo
Oh Joo-Han
Nam Woo-Dong
Rhie Tae-Yon
Jeong Jin-Young
Lee Han-Koo
Lee Sang-Hoon
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Abstract
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Purpose : The purpose of the current study is to evaluate the functional and oncologic results of the limb salvage surgery with intramedullary nailing and ementization in malignant bone tumors of the proximal humerus.
Materials and Methods : We reviewed 18 cases of limb salvage surgery of resection and reconstruction with an intramedullary nail and cement-molded humeral head for the malignant bone tumors of the proximal humerus, which performed between August, 1992 through the April, 1998. The diagnoses included the osteosarcoma in 7 patients, chondrosarcoma in 3, the recurrent giant cell tumor in 3, metastatic tumor in 3, multiple myeloma in one patient and the one patient with malignant fibrous histiocytoma. The mean age at the time of surgery was 38 years(range, 15-73 years). The mean follow-up period was 26 months(range, 6-67 months).
Results : Average functional score by ISOLS evaluation system was 21.1(70.3%). There were 3 local recurrences and 5 distant metastases. There were one case of shoulder instability and one case of deep infection. The seven patients are continuously disease free state and seven patients are alive with disease. Four patients died from the disease.
Conclusion : The limb salvage surgery with intramedullary nailing and cementization in the bone tumors of the proximal humerus may be considered an option for the malignant bone tumors of the proximal humerus in selected patients.
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KEYWORD
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Proximal humerus, Bone tumor, Intramedullary nailing, Cementization
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