Functional outcomes after reverse shoulder megaprosthesis following resection of malignant bone tumor in the proximal humerus: a systematic review and meta-analysis

Denissen, Jorinde JPM; Koenders, Niek; Hinte, Gerben van; Groen, Femke; Wees, Philip J. van der; Geest, I.C.M. van der; Dierselhuis, Edwin F

doi:10.1016/j.jseint.2023.02.018

Cited by 6 publications

(5 citation statements)

References 57 publications

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“…Moreover, regarding external rotation, we recorded small improvements in contrast to what we observed in both abduction and anterior elevation. The above is in line with the international literature referring to oncologic shoulder surgery [4,6].…”

Section: Discussionsupporting

confidence: 87%

“…Anatomical hemiarthroplasty, allograft-prosthesis composite, and reverse shoulder megaprosthesis are now popular surgical alternatives. As a result, this prosthesis is also appropriate for shoulder joint repair following oncologic proximal humerus excision [ 4 ].…”

Section: Discussionmentioning

confidence: 99%

“…On the other hand, considering proximal humerus nonunions, especially with severe bone loss, a variety of therapeutic options are available, including open reduction and internal fixation with several fixation constructions, hemiarthroplasty, anatomic total shoulder arthroplasty, and reverse shoulder arthroplasty [ 6 ]. While there is a consensus on the use of megaprosthesis in oncologic shoulder surgery [ 4 ], a similar consensus does not yet exist for proximal humerus nonunions.…”

Section: Discussionmentioning

confidence: 99%

“…While there is a consensus on the use of megaprosthesis in oncologic shoulder surgery [4], a similar consensus does not yet exist for proximal humerus nonunions.…”

Section: Discussionmentioning

confidence: 99%

“…At midterm follow-up, the functional outcomes of patients who received a reverse shoulder megaprosthesis following orthopedic oncologic tumor resection in the proximal humerus were found to be satisfactory. Notable improvements were observed in the range of motion for elevation, abduction, and external rotation, as well as overall shoulder functioning [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

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Reverse Shoulder Megaprosthesis for Massive Proximal Humeral Bone Loss in Fracture Outcome Settings: A Report of Two Cases and Literature Review

Morea,

Polizzi,

Niccoli

et al. 2024

Cureus

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In trauma settings, including the management of outcomes, there is no consensus on the most appropriate reconstructive method in the presence of severe bone loss of the proximal humerus. The objective of this report is to evaluate the short-term functional outcomes of two patients in whom reverse shoulder megaprosthesis was used to treat the failure of trauma surgery with severe bone loss. The secondary objective was to compare the results obtained with the literature regarding the use of megaprosthesis in shoulder trauma surgery. The patients showed a satisfying functional recovery and increased quality of life. At the 12-month follow-up, no complications occurred. Regarding the risk of complications, especially the risks of mobilization of the megaprosthesis, the CT-based intraoperative navigation system optimizes the configuration of the screw for the initial fixation of the glenoid component. Shoulder megaprosthesis appears to be a viable option not only in oncologic surgery but also in cases of failed trauma surgery. The functional results, considering functional score and range of motion, are encouraging and allow patients to improve their quality of life.

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Section: Discussionsupporting

confidence: 87%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…While there is a consensus on the use of megaprosthesis in oncologic shoulder surgery [4], a similar consensus does not yet exist for proximal humerus nonunions.…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Reverse Shoulder Megaprosthesis for Massive Proximal Humeral Bone Loss in Fracture Outcome Settings: A Report of Two Cases and Literature Review

Morea,

Polizzi,

Niccoli

et al. 2024

Cureus

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Comparison of reconstructive techniques for nonprimary malignancies in the proximal humerus

Sullivan,

Arguello,

Barlow

et al. 2024

Journal of Surgical Oncology

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BackgroundEndoprostheses (EPC) are often utilized for reconstruction of the proximal humerus with either hemiarthroplasty (HA) or reverse arthroplasty (RA) constructs. RA constructs have improved outcomes in patients with primary lesions, but no studies have compared techniques in metastatic disease. The aim of this study is to compare functional outcomes and complications between HA and RA constructs in patients undergoing endoprosthetic reconstruction for proximal humerus metastases.MethodsWe retrospectively reviewed our institutional arthroplasty database to identify 66 (56% male; 38 HA and 28 RA) patients with a proximal humerus reconstruction for a non‐primary malignancy. The majority (88%) presented with pathologic fracture, and the most common diagnosis was renal cell carcinoma (48%).ResultssPatients with RA reconstructions had better postoperative forward elevation (74° vs. 32°, p < 0.01) and higher functional outcome scores. HA patients had more complications (odds ratio 13, p < 0.01), with instability being the most common complication.ConclusionsPatients with nonprimary malignancies of the proximal humerus had improved functional outcomes and fewer complications after undergoing reconstruction with a reverse EPC compared to a HA EPC. Preference for reverse EPC should be given in patients with good prognosis and ability to complete postoperative rehabilitation.

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Poor clinical outcomes and high rates of dislocation after modular reverse shoulder arthroplasty for proximal humeral oncologic resection

Amouyel,

Szymanski,

Rodrigues

et al. 2024

International Orthopaedics (SICOT)

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Functional outcomes after reverse shoulder megaprosthesis following resection of malignant bone tumor in the proximal humerus: a systematic review and meta-analysis

Cited by 6 publications

References 57 publications

Reverse Shoulder Megaprosthesis for Massive Proximal Humeral Bone Loss in Fracture Outcome Settings: A Report of Two Cases and Literature Review

Reverse Shoulder Megaprosthesis for Massive Proximal Humeral Bone Loss in Fracture Outcome Settings: A Report of Two Cases and Literature Review

Comparison of reconstructive techniques for nonprimary malignancies in the proximal humerus

Poor clinical outcomes and high rates of dislocation after modular reverse shoulder arthroplasty for proximal humeral oncologic resection

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