Abstract
The reconstruction of the proximal humerus following a tumor resection remains a big challenge for the orthopedic surgeon, due to the complex anatomy and biomechanics of the shoulder joint. The main goals, after a resection with adequate margins, are the stability of the glenohumeral joint and the restoration of passive and active mobility. The proximal humerus reconstruction can be performed with an allograft and/or an endoprosthetic replacement. The resected tendons should be resutured to the prosthesis or the allograft to improve the functional results. The shoulder joint reconstruction with a reverse shoulder prosthesis seems to allow the best functional results, in particular if the circumflex nerve and the deltoid muscle are spared.
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Piana, R., Ratto, N., Ferro, A., Boffano, M. (2019). Proximal Humerus Neoplasia. In: Gumina, S., Grassi, F., Paladini, P. (eds) Reverse Shoulder Arthroplasty. Springer, Cham. https://doi.org/10.1007/978-3-319-97743-0_24
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