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Claviculo-Pro-Humero Reconstruction Following Proximal Humeral Resection

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Orthopedic Surgical Oncology For Bone Tumors

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Abstract

Postoperative instability is a considerable challenge after reconstruction following proximal humeral tumour resection. Claviculo-pro-humero is a biological solution that disconnects the medial end of the clavicle and pivots the bone around the acromioclavicular joint to re-establish continuity with the remnant humeral diaphysis. This reconstruction is indicated for extra-articular resections of the shoulder joint, when proximal humeral resections are associated with complete deltoid sacrifice. The reconstruction is durable, partially mobile, and allows good activities of daily living. It is applicable for paediatric and adult patients. The complication rate is comparatively lower than for allograft or prosthetic reconstructions.

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References

  1. Sulamaa M. Upper extremity phocomelia. A contribution to its operative treatment. Clin Pediatr (Phila). 1963;2:251–7.

    Article  CAS  Google Scholar 

  2. Winkelmann WW. Clavicula pro humero—a new surgical method for malignant tumors of the proximal humerus. Z Orthop Ihre Grenzgeb. 1992;130(3):197–201.

    Article  CAS  Google Scholar 

  3. Dubina A, Shiu B, Gilotra M, Hasan SA, Lerman D, Ng VY. What is the optimal reconstruction option after the resection of proximal humeral tumors? A systematic review. Open Orthop J. 2017;11:203–11.

    Article  Google Scholar 

  4. Ozaki T, Hashizume H, Kunisada T, Kawai A, Nishida K, Sugihara S, et al. Reconstruction of the proximal humerus with the clavicle after tumor resection: a case report. Clin Orthop Relat Res. 2001;385:170–5.

    Article  Google Scholar 

  5. O’Connor MI, Sim FH, Chao EY. Limb salvage for neoplasms of the shoulder girdle. Intermediate reconstructive and functional results. J Bone Joint Surg Am. 1996;78(12):1872–88.

    Article  Google Scholar 

  6. Mimata Y, Nishida J, Sato K, Suzuki Y, Doita M. Glenohumeral arthrodesis for malignant tumor of the shoulder girdle. J Shoulder Elb Surg. 2015;24(2):174–8.

    Article  Google Scholar 

  7. Muramatsu K, Ihara K, Tominaga Y, Hashimoto T, Taguchi T. Functional reconstruction of the deltoid muscle following complete resection of musculoskeletal sarcoma. J Plast Reconstr Anesthet Surg. 2014;67(7):916–20.

    Article  Google Scholar 

  8. Calvert GT, Wright J, Agarwal J, Jones KB, Randall RL. Is claviculo pro humeri of value for limb salvage of pediatric proximal humerus sarcomas? Clin Orthop Relat Res. 2015;473(3):877–82.

    Article  Google Scholar 

  9. Hou CL, Tai YH. Transfer of upper pectoralis major flap for functional reconstruction of deltoid muscle. Chin Med J. 1991;104(9):753–7.

    CAS  PubMed  Google Scholar 

  10. Tsukushi S, Nishida Y, Takahashi M, Ishiguro N. Clavicula pro humero reconstruction after wide resection of the proximal humerus. Clin Orthop Relat Res. 2006;447:132–7.

    Article  Google Scholar 

  11. Nishida Y, Tsukushi S, Yamada Y, Kamei Y, Toriyama K, Ishiguro N. Reconstruction of the proximal humerus after extensive extraarticular resection for osteosarcoma: a report of two cases with clavicula pro humero reconstruction. Oncol Rep. 2008;20(5):1105–9.

    PubMed  Google Scholar 

  12. Okimatsu S, Kamoda H, Yonemoto T, Iwata S, Ishii T. Effectiveness of Clavicula Pro Humero reconstruction for elderly patients: report of two cases. Case Rep Oncol Med. 2016;2016:4140239.

    PubMed  PubMed Central  Google Scholar 

  13. Kitagawa Y, Thai DM, Choong PF. Reconstructions of the shoulder following tumour resection. J Orthop Surg (Hong Kong). 2007;15(2):201–6.

    Article  CAS  Google Scholar 

  14. Lazerges C, Dagneaux L, Degeorge B, Tardy N, Coulet B, Chammas M. Composite reverse shoulder arthroplasty can provide good function and quality of life in cases of malignant tumour of the proximal humerus. Int Orthop. 2017;41(12):2619–25.

    Article  Google Scholar 

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Authors and Affiliations

  1. Department of Orthopaedics, St. Vincent’s Hospital Melbourne, Fitzroy, VIC, Australia

    Peter F. M. Choong

  2. Department of Surgery, University of Melbourne, Parkville, VIC, Australia

    Peter F. M. Choong

  3. Medical School, University of Melbourne, Parkville, VIC, Australia

    Emma L. P. Choong

Authors
  1. Peter F. M. Choong
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  2. Emma L. P. Choong
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Correspondence to Peter F. M. Choong .

Editor information

Editors and Affiliations

  1. Professor Emeritus Department of Orthopaedics and Traumatology, Istanbul University, Istanbul Faculty of Medicine, Istanbul, Turkey

    Harzem Özger

  2. Department of Orthopaedic Surgery, Mayo Clinic, Rochester, MN, USA

    Franklin H. Sim

  3. Department of Surgical Oncology, Tata Memorial Hospital, HBNI, Mumbai, Maharashtra, India

    Ajay Puri

  4. Professor Emeritus Department of Orthopaedics and Traumatology, Istanbul University, Istanbul Faculty of Medicine, Istanbul, Turkey

    Levent Eralp

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Choong, P.F.M., Choong, E.L.P. (2022). Claviculo-Pro-Humero Reconstruction Following Proximal Humeral Resection. In: Özger, H., Sim, F.H., Puri, A., Eralp, L. (eds) Orthopedic Surgical Oncology For Bone Tumors . Springer, Cham. https://doi.org/10.1007/978-3-030-73327-8_39

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  • DOI: https://doi.org/10.1007/978-3-030-73327-8_39

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-73326-1

  • Online ISBN: 978-3-030-73327-8

  • eBook Packages: MedicineMedicine (R0)

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