Mesh patch and anchors can improve clinical results of prosthetic replacement after resection of primary proximal humerus malignant tumor

Abstract The purpose of this study was to evaluate the functional results, complications and related factors of prosthesis reconstruction after malignant tumor resection of primary proximal humeral, and also evaluate whether soft tissue reconstruction with mesh patch and anchors can improve clinical...

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Autores principales:	Yongkun Yang, Yuan Li, Weifeng Liu, Xiaohui Niu
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/0ff15a69efb144bd9d446dc4f307b494
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spelling	oai:doaj.org-article:0ff15a69efb144bd9d446dc4f307b4942021-12-02T15:23:01ZMesh patch and anchors can improve clinical results of prosthetic replacement after resection of primary proximal humerus malignant tumor10.1038/s41598-020-78959-y2045-2322https://doaj.org/article/0ff15a69efb144bd9d446dc4f307b4942021-01-01T00:00:00Zhttps://doi.org/10.1038/s41598-020-78959-yhttps://doaj.org/toc/2045-2322Abstract The purpose of this study was to evaluate the functional results, complications and related factors of prosthesis reconstruction after malignant tumor resection of primary proximal humeral, and also evaluate whether soft tissue reconstruction with mesh patch and anchors can improve clinical results. From 2002 to 2016, forty-one patients were enrolled in this study. The pathological diagnosis contained 27 cases of osteosarcoma, 7 cases of chondrosarcoma and other primary malignant bone tumors. Both mesh patch and anchors were used in the reconstruction of joint capsule and the surrounding soft tissues in 27 cases. The mean postoperative follow-up was 60.6 months. The average active abduction angle and passive abduction angle was 33.5 (5–71) degrees and 72.4 (52–104) degrees. The prosthetic humeral head displacement was over 2 cm in 5 cases (12.2%). The average MSTS score was 23.1. The overall 5-year survival rate of prosthesis was 88.2%. The length of osteotomy, whether preserving deltoid muscle, whether applying mesh patch and anchors had significant effects on the abduction angle of shoulder joint; the length of osteotomy, whether applying mesh patch and anchors had significant effects on the degree of upward displacement of prosthesis. The application of both mesh patch and anchors in prosthesis reconstruction achieved more stable result and better function of shoulder joint. To ensure the stability of shoulder joint and the firm wrapping of surrounding soft tissue are key factors affecting the postoperative function.Yongkun YangYuan LiWeifeng LiuXiaohui NiuNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Yongkun Yang Yuan Li Weifeng Liu Xiaohui Niu Mesh patch and anchors can improve clinical results of prosthetic replacement after resection of primary proximal humerus malignant tumor
description	Abstract The purpose of this study was to evaluate the functional results, complications and related factors of prosthesis reconstruction after malignant tumor resection of primary proximal humeral, and also evaluate whether soft tissue reconstruction with mesh patch and anchors can improve clinical results. From 2002 to 2016, forty-one patients were enrolled in this study. The pathological diagnosis contained 27 cases of osteosarcoma, 7 cases of chondrosarcoma and other primary malignant bone tumors. Both mesh patch and anchors were used in the reconstruction of joint capsule and the surrounding soft tissues in 27 cases. The mean postoperative follow-up was 60.6 months. The average active abduction angle and passive abduction angle was 33.5 (5–71) degrees and 72.4 (52–104) degrees. The prosthetic humeral head displacement was over 2 cm in 5 cases (12.2%). The average MSTS score was 23.1. The overall 5-year survival rate of prosthesis was 88.2%. The length of osteotomy, whether preserving deltoid muscle, whether applying mesh patch and anchors had significant effects on the abduction angle of shoulder joint; the length of osteotomy, whether applying mesh patch and anchors had significant effects on the degree of upward displacement of prosthesis. The application of both mesh patch and anchors in prosthesis reconstruction achieved more stable result and better function of shoulder joint. To ensure the stability of shoulder joint and the firm wrapping of surrounding soft tissue are key factors affecting the postoperative function.
format	article
author	Yongkun Yang Yuan Li Weifeng Liu Xiaohui Niu
author_facet	Yongkun Yang Yuan Li Weifeng Liu Xiaohui Niu
author_sort	Yongkun Yang
title	Mesh patch and anchors can improve clinical results of prosthetic replacement after resection of primary proximal humerus malignant tumor
title_short	Mesh patch and anchors can improve clinical results of prosthetic replacement after resection of primary proximal humerus malignant tumor
title_full	Mesh patch and anchors can improve clinical results of prosthetic replacement after resection of primary proximal humerus malignant tumor
title_fullStr	Mesh patch and anchors can improve clinical results of prosthetic replacement after resection of primary proximal humerus malignant tumor
title_full_unstemmed	Mesh patch and anchors can improve clinical results of prosthetic replacement after resection of primary proximal humerus malignant tumor
title_sort	mesh patch and anchors can improve clinical results of prosthetic replacement after resection of primary proximal humerus malignant tumor
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/0ff15a69efb144bd9d446dc4f307b494
work_keys_str_mv	AT yongkunyang meshpatchandanchorscanimproveclinicalresultsofprostheticreplacementafterresectionofprimaryproximalhumerusmalignanttumor AT yuanli meshpatchandanchorscanimproveclinicalresultsofprostheticreplacementafterresectionofprimaryproximalhumerusmalignanttumor AT weifengliu meshpatchandanchorscanimproveclinicalresultsofprostheticreplacementafterresectionofprimaryproximalhumerusmalignanttumor AT xiaohuiniu meshpatchandanchorscanimproveclinicalresultsofprostheticreplacementafterresectionofprimaryproximalhumerusmalignanttumor
_version_	1718387309480509440

Mesh patch and anchors can improve clinical results of prosthetic replacement after resection of primary proximal humerus malignant tumor

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