Summary
We describe the refixation of muscle insertions after resection of the proximal humerus in tumor patients. The prosthesis specially designed for this purpose carries large drill holes in the places corresponding to the anatomical sites of the muscle insertions. The muscles are attached to the prosthesis by means of tendon strips from the fascia lata. This can be expected to produce better functional results and to prevent subluxation.
Zusammenfassung
Die Refixation von Muskelansätzen nach Resektion des proximalen Humerus bei Tumorpatienten wird beschrieben. Eine speziell dafür konstruierte Endoprothese ist an den analogen Stellen der Muskelinsertion mit weiten Bohrungen versehen. Mittels Sehenstreifen der Fascia lata werden die Muskeln an der Prothese fixiert. Dadurch sind bessere funktionelle Ergebnisse und die Verhinderung von Subluxationen zu erwarten.
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References
Ascherl R, Rechl H, Erhard W, Schmeller ML, Geißdörfer K, Rupp G, Senekowitsch R, Kriegel H, Blümel G (1983) Experimentelle Untersuchungen zur Einheilung zementfreier Schaftendoprothesen mit sogenannter madreporischer Oberfläche. Neue Aspekte der Traumatologie. Bericht über die wissenschaftliche Arbeitstagung, Baden bei Wien. 21.–22.10. Schattauer, Stuttgart
Bos G, Sim FH, Pritchard DJ, Shives TC, Rock M, Askew L, Chao EYS (1987) Prosthetic proximal humeral replacement: the Mayo Clinic experience. In: Enneking WF (ed) Limb salvage in musculosceletal oncology. Churchill Livingstone, Edinburgh, pp 61–72
Burri C, Gerngroß H, Kinzl L (1983) Durability of isoelastic tumor prostheses of the shoulder. In: Kotz R (ed) Proc 2nd Intern. Workshop on the Design and Application of Tumor Prostheses for Bone and Joint Reconstruction. Vienna, September 5–8, pp 245–248
Capanna R, Van Horn JR, Biagini R, Ruggieri P, Bettelli G, Sola G, Campanacci M (1986) A humeral modular prosthesis for bone tumour surgery. A study of 56 cases. Int Orthop (SICOT) 10:231–238
Gebhardt MC, McGuire MH, Mankin HJ (1987) Resection and allograft arthrodesis for malignant bone tumors of the extremity. In: Enneking WF (ed) Limb salvage in musculoskeletal oncology. Churchill Livingstone, Edinburgh, pp 567–582
Kotz R (1983) Possibilities and limitations of limb-preserving therapy for bone tumors today. J Cancer Res Clin Oncol [Suppl] 106:68
Mathys R (1973) Stand der Verwendung von Kunststoffen für künstliche Gelenke. Aktuel Traumatol 3:253
Rock M (1987) Intercalary allograft and custom neer prosthesis after en bloc resection of the proximal humerus. In: Enneking WF (ed) Limb salvage in musculoskeletal oncology. Churchill Livingstone, Edinburgh, pp 586–597
Ross AC, Wilson JN, Scales JT (1987) Endoprosthetic replacement of the proximal humerus. J Bone Joint Surg [Br] 69:656–661
Ross AC, Wilson JN, Sneath RS, Scales JT (1987) Humeral replacement. In: Coombs R, Friedlaender G (eds) Bone tumor management. Butterworths, London pp 151–159
Russe W, Bauer R (1983) The isoelastic humerus prosthesis as a replacement of the proximal humerus after tumor resections. In: Kotz R (ed) Proc. 2nd Intern. Workshop on the Design and Application of Tumor Prostheses for Bone and Joint Reconstruction. Vienna, September 5–8, pp 249–251
Salzer M, Locke H, Engelhardt H, Zweymüller K (1975) Keramische Endoprothesen der oberen Extremität. Z Orthop 113:458–461
Salzer M, Knahr K, Locke H, Stärk N, Matejovsky Z, Plenk H Jr, Punzet G, Zweymüller K (1979) A bioceramic endoprosthesis for the replacement of the proximal humerus. Arth Orthop Trauma Surg 93:169–184
Sekera J, Ramach W, Pongracz N, Salzer-Kuntschik M, Kotz R, Knahr K, Salzer M (1987) Experience with ceramic and metal implants for the proximal humerus in cases of malignant bone tumor. In: Enneking WF (ed) Limb salvage in musculoskeletal oncology. Churchill Livingstone, Edinburgh, pp 211–215
Chen TH, Sim FH, Shives TC, Pritchard DJ, Chao EYS (1987) Porous-coated segmental bone and joint replacement prostheses. In: Enneking WF (ed) Limb salvage in musculoskeletal oncology. Churchill Livingstone, Edinburgh pp 73–83
Ungethüm M, Knahr K, Salzer M, Blömer W (1983) Zementfrei zu implantierende Spezialendoprothesen nach dem Baukastenprinzip für den proximalen Femur- und Humerusersatz. Med Orthop Tech 4:104–112
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Ritschl, P., Piza-Katzer, H., Pechmann, U. et al. Refixation of muscular insertions after endoprosthetic replacement of the proximal humerus. Arch Orthop Trauma Surg 108, 386–389 (1989). https://doi.org/10.1007/BF00932453
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DOI: https://doi.org/10.1007/BF00932453