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Research ArticleClinical Studies

Clavicula Pro Humero Reconstruction for Malignant Tumor of the Proximal Humerus in Children and Adults

HIDEYUKI KINOSHITA, HIROTO KAMODA, YOKO HAGIWARA, TAKESHI ISHII, SEIJI OHTORI and TSUKASA YONEMOTO
Anticancer Research April 2022, 42 (4) 2139-2144; DOI: https://doi.org/10.21873/anticanres.15696
HIDEYUKI KINOSHITA
1Department of Orthopedic Surgery, Chiba Cancer Center, Chiba, Japan;
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  • For correspondence: kinoshi1783{at}yahoo.co.jp
HIROTO KAMODA
1Department of Orthopedic Surgery, Chiba Cancer Center, Chiba, Japan;
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YOKO HAGIWARA
1Department of Orthopedic Surgery, Chiba Cancer Center, Chiba, Japan;
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TAKESHI ISHII
1Department of Orthopedic Surgery, Chiba Cancer Center, Chiba, Japan;
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SEIJI OHTORI
2Department of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, Chiba, Japan
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TSUKASA YONEMOTO
1Department of Orthopedic Surgery, Chiba Cancer Center, Chiba, Japan;
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    Figure 1.

    Intraoperative photographs of the clavicula pro humero reconstruction. A: Frontal view of the preoperative skin incision line. B: Intraoperative photograph of the clavicula pro humero reconstruction. The rotated clavicle and residual humerus were fixed by an internal plate.

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    Figure 2.

    Postoperative x-ray of patients 1-8, respectively. A: The total humerus was removed and reconstructed with only the clavicle being rotated and with vascularized fibular autografts. The elbow joint was reconstructed with a fibular head. B: Clavicula pro humero reconstruction was performed with a rotated clavicle, vascularized fibular autograft and residual humerus. C-H: Reconstruction was performed with only a rotated clavicle and residual humerus.

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    Figure 3.

    Postoperative X-ray of three cases with complications. A: Patient 2: Proximal portion in reconstruction with vascularized fibular autograft did not achieve union but the distal portion achieved bone fusion at 25 months after surgery. B: Patient 4 had a fracture of the clavicular segment at 3 months after surgery, leading to revision surgery for internal fixation and bone graft. C: Patient 6 had a fracture of the clavicular segment and non-union at 5 months after surgery. However, there was no need for revision surgery due to a lack of both pain and disability.

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April 2022
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Clavicula Pro Humero Reconstruction for Malignant Tumor of the Proximal Humerus in Children and Adults
HIDEYUKI KINOSHITA, HIROTO KAMODA, YOKO HAGIWARA, TAKESHI ISHII, SEIJI OHTORI, TSUKASA YONEMOTO
Anticancer Research Apr 2022, 42 (4) 2139-2144; DOI: 10.21873/anticanres.15696

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Clavicula Pro Humero Reconstruction for Malignant Tumor of the Proximal Humerus in Children and Adults
HIDEYUKI KINOSHITA, HIROTO KAMODA, YOKO HAGIWARA, TAKESHI ISHII, SEIJI OHTORI, TSUKASA YONEMOTO
Anticancer Research Apr 2022, 42 (4) 2139-2144; DOI: 10.21873/anticanres.15696
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Keywords

  • Clavicula pro humero reconstruction
  • Malignant bone tumor
  • non-union
  • sarcoma
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