Author/Authors :
D’Arienzo, Antonio Department of Orthopaedic and Trauma Surgery - University of Pisa - Pisa, Italy , Ipponi, Edoardo Department of Orthopaedic and Trauma Surgery - University of Pisa - Pisa, Italy , Ruinato, Alfio Damiano Department of Orthopaedic and Trauma Surgery - University of Pisa - Pisa, Italy , De Franco, Silvia Department of Orthopaedic and Trauma Surgery - University of Pisa - Pisa, Italy , Colangeli, Simone Department of Orthopaedic and Trauma Surgery - University of Pisa - Pisa, Italy , Andreani, Lorenzo Department of Orthopaedic and Trauma Surgery - University of Pisa - Pisa, Italy , Capanna, Rodolfo Department of Orthopaedic and Trauma Surgery - University of Pisa - Pisa, Italy
Abstract :
Proximal humerus is one of the anatomical sites that are most frequently involved by bone and soft tissue malignant tumors. Aloneor in association with adjuvant treatments, surgery represents the main therapeutic option to treat and eradicate these diseases.Once the first-line option, in the last decades, amputation lost its role as treatment of choice for the large majority of cases in favorof the modern limb sparing surgery that promises to preserve anatomy and—as much as possible—upper limb functionality.Currently, the main approaches used to replace proximal humerus after a wide resection in oncologic surgery can be summarizedin biological reconstructions (allografts and autografts), prosthetic reconstructions (anatomic endoprostheses, total reverseshoulder prostheses), and graft-prosthetic composite reconstructions. *e purpose of this overview is to present nowadayssurgical options for proximal humerus reconstruction in oncological patients, with their respective advantages and disadvantages.
