Proximal ulna endoprosthetic replacement for bone tumours in young patients

Sewell, Mathew D.; Hanna, Sammy A.; Pollock, Rob; Aston, William; Skinner, John; Blunn, Gordon; Cannon, Stephen R.; Briggs, Timothy

doi:10.1007/s00264-012-1483-z

Cited by 16 publications

(26 citation statements)

References 32 publications

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“…Malignant bone tumors in the upper extremities, especially in the forearm, are rare [1]. Although there have been reports of osteochondroma primary giant cell tumors and Ewing's sarcoma of the ulna.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

A New Biological Technique of Elbow Reconstruction Following an Extensive Tumoral Resection of the Proximal Ulna

Sboui¹,

Jlalia²,

Riahi³

et al. 2017

Med Case Rep

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The resection of malignant tumors often poses the challenge of reconstruction. The objective of this reconstruction is the restoration of a function. We present the case of a chondroblastic osteosarcoma of the ulna in a 27-year-old patient. The resection sacrificed part of the ulna. The conservation of part of the olecrane allowed an innovative reconstruction to be carried out by bringing the radial head into contact with the humeral trochlea. The preservation of elbow function was satisfactory.

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Section: Discussionmentioning

confidence: 99%

“…Primary bone tumors around the elbow represent less than 1% of all the skeletal tumors [1]. Chondroblastic osteosarcoma is a relatively rare variant of osteosarcoma with an incidence of 4.2% [2,3].…”

Section: Introductionmentioning

confidence: 99%

A New Biological Technique of Elbow Reconstruction Following an Extensive Tumoral Resection of the Proximal Ulna

Sboui¹,

Jlalia²,

Riahi³

et al. 2017

Med Case Rep

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show abstract

“…Salvaging the limb following an ulnar tumor resection poses a complex, reconstructive challenge ( 6 , 7 , 9 – 11 ). Various options have been reported for the reconstruction of the elbow joint following ulnar tumor resections, such as radius neck-to-humerus trochlea transposition, endoprosthetic reconstruction, allografts, vascularized fibular grafts and extracorporeal irradiation ( 6 , 7 , 9 , 10 ). Due to the location of the tumors, previous studies primarily involved reconstructions of partial ulna defects, and the remnant ulna provided the basis for bone grafts or prosthesis implantation.…”

Section: Discussionmentioning

confidence: 99%

“…Duncan et al ( 7 ) performed this procedure in 2 adult patients. One patient achieved 20° pronation, but no supination, and the second patient achieved 10° pronation and limited supination ability ( 9 ). Therefore, in the present study, it was proposed that the elbow joint would be reconstructed using a non-vascularized, autogenous fibular graft and hernia mesh.…”

Section: Discussionmentioning

confidence: 99%

Ewing's sarcoma of the ulna treated with sub-total resection and reconstruction using a non-vascularized, autogenous fibular graft and hernia mesh: A case report

Lin

2015

Oncology Letters

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Ewing's sarcoma of the bone is the second most frequently occurring malignant bone tumor in children and adolescents. Ewing's sarcoma in the ulna are extremely rare. Thus, the surgical options for reconstruction of the elbow are limited and technically challenging. In the current study, a 29-year-old male with Ewing's sarcoma of the ulna was treated with a sub-total resection and reconstruction using a non-vascularized, autogenous fibular graft and hernia mesh. At the 2-year follow-up, the patient had returned to his previous occupation with no evidence of local recurrence or distant metastasis. The functional recovery was satisfactory, and the patient could perform active movement of the elbow from 0° to 135°, forearm pronation to 30°, supination to 85° and had full hand function. The grip power of the left hand was 36 kg, which was 86% of the contralateral side (42 kg).

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“…Primary bone tumors around the elbow represent <1% of all the skeletal tumors. [ 1 ] Among these, Ewings sarcoma is the most common primary bone tumor in children. Ewings sarcoma is treated with multimodality management where surgery forms the cornerstone of treatment sandwiched between neoadjuvant and adjuvant chemotherapy.…”

Section: Introductionmentioning

confidence: 99%

Reconstruction of the elbow and forearm for Ewing sarcoma of ulna: A new biological technique

Puri

Gulia

Byregowda

et al. 2016

Int J Shoulder Surg

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Primary bone tumors around the elbow represent <1% of all the skeletal tumors. Surgery with or without adjuvant therapy (radiotherapy, chemotherapy) is the treatment of choice for malignant tumors. Reconstruction of the elbow and forearm in malignant tumors is challenging as it involves a complex interplay between multiple joints which need to be stabilized for the optimal functional outcome. We describe a new technique for the reconstruction of the elbow after resection of a proximal ulna tumor with articular radio-ulnar synostosis with the creation of a single bone forearm. We attempted to achieve a mobile elbow and stable wrist joint with the radio-ulnar union at the proximal articular surface of the ulna resulting in a single bone forearm. The procedure involves an oblique osteotomy preserving the olecranon process (after taking adequate margins based on oncological principles) and its articular cartilage along with the attachment of the triceps tendon. Then the radial head was partially denuded of its cartilage using a burr, leaving cartilage only on the volar side, and then fused to the remnant olecranon. Osteosynthesis was done using compression screw and tension band wiring. The advantages of this procedure are that the mobility at wrist and elbow are retained, it requires minimal hardware and allows for primary closure of the wound.

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Proximal ulna endoprosthetic replacement for bone tumours in young patients

Cited by 16 publications

References 32 publications

A New Biological Technique of Elbow Reconstruction Following an Extensive Tumoral Resection of the Proximal Ulna

A New Biological Technique of Elbow Reconstruction Following an Extensive Tumoral Resection of the Proximal Ulna

Ewing's sarcoma of the ulna treated with sub-total resection and reconstruction using a non-vascularized, autogenous fibular graft and hernia mesh: A case report

Reconstruction of the elbow and forearm for Ewing sarcoma of ulna: A new biological technique

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