Megaprosthesis in Metastases of the Shoulder

  • Vincenzo Denaro
  • Alberto Di MartinoEmail author


The purpose of treatment for patients with skeletal metastases and pathologic fractures is a singular performance that allows for functional reconstruction. The most common surgical procedure is resection of the metastatic lesion and prosthetic reconstruction. Given the recent developments of new prosthetic implants, the metastatic disease to the proxymal humerus is more often treated surgically by the use of arthroplasty implants. The majority of patients will survive for a significant time after surgery, and hence a stable and pain-free limb should be the goal. When prosthesis implants are used, this allows for a good pain control, despite a poor functional outcome.


Shoulder metastases Megaprosthesis Surgery Functional outcome 


  1. 1.
    Teunis T, Nota SPFT. Outcome after reconstruction of the proximal humerus for tumor resection: a systematic review. Clin Orthop Relat Res. 2014;472:2245–53.CrossRefPubMedPubMedCentralGoogle Scholar
  2. 2.
    Wang Z, Guo Z, Li J. Functional outcomes and complications of reconstruction of the proximal humerus after intra-articular tumor resection. Orthop Surg. 2010;2(1):19–26.CrossRefPubMedGoogle Scholar
  3. 3.
    Potter BK, Adams SC, Pitcher JD, et al. Proximal humerus reconstructions for tumors. Clin Orthop Relat Res. 2009;467:1035–41.CrossRefPubMedGoogle Scholar
  4. 4.
    Manili M, Fredella N, Santori FS. Shoulder prosthesis in reconstruction of the scapulohumeral girdle after wide resection to treat malignant neoformation of the proximal humerus. Chir Organi Mov. 2002;87:25–33.PubMedGoogle Scholar
  5. 5.
    Palumbo BT, Eric R. Advances in segmental endoprosthetic reconstruction for extremity tumors: a review of contemporary designs and techniques. Cancer Control. 2011;18(3):160–70.CrossRefPubMedGoogle Scholar
  6. 6.
    Mayilvahanan N, Paraskumar M, Sivaseelam A, Natarajan S. Custom mega-prosthetic replacement for proximal humeral tumours. Int Orthop. 2006;30:158–62.CrossRefPubMedPubMedCentralGoogle Scholar
  7. 7.
    Thai DM, Kitagawa Y, Choong PFM. Outcome of surgical management of bony metastases to the humerus and shoulder girdle: a retrospective analysis of 93 patients. Int Semin Surg Oncol. 2006;3:5.CrossRefPubMedPubMedCentralGoogle Scholar
  8. 8.
    Black AW, Szabo RM. Treatment of malignant tumors of the proximal humerus with allograft-prosthesis composite reconstruction. J Shoulder Elb Surg. 2007;16(5):526–33.CrossRefGoogle Scholar
  9. 9.
    Puri A, Gulia A. The results of total humeral replacement following excision for primary bone tumour. J Bone Joint Surg. 2012;94:1277–81.CrossRefGoogle Scholar
  10. 10.
    Angelini A, Mavrogenis AF, Trovarelli G, Pala E, Arbelaez P, Casanova J, Berizzi A, Ruggieri P. Extra-articular shoulder resections: outcomes of 54 patients. J Shoulder Elb Surg. 2017;26:e337–45. Scholar
  11. 11.
    Abdeen A, Healey JH. Allograft-prosthesis composite reconstruction of the proximal part of the humerus. J Bone Joint Surg. 2009;91:2406–15.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of Orthopaedics and Trauma SurgeryUniversity Campus Bio-Medico of RomeRomeItaly

Personalised recommendations