Total Humeral Replacement with Biarticular Prosthesis after Chondrosarcoma Wide Excision Functional Aspects of Limb Preservation

Abstract

Case: A massive proximal humerus high grade chondrosarcoma was diagnosed in a 33-year-old male patient. Diagnosis was confirmed by biopsy and staging was negative. To achieve wide resection and acquire a safe resected margin, total humerus replacement was performed, and the whole humerus was reconstructed. The patient resumed normal activities, with average functional outcome and is very satisfied with the aesthetic result and possibility of limb preservation. Conclusion:Total humeral replacement is an option for preservation of the limb and allows for very good function of the elbow and full function of the hand. Amputation would not guarantee greater survival.