Pathological fractures of the proximal humerus treated with a proximal humeral locking plate and bone cement

• DOI: 10.1302/0301-620x.92b5.23246
• Publication Date: 2010-04-30T23:25:18Z
• Authors: H. J. Siegel; R. Lopez-Ben; J. P. Mann; B. A. Ponce
• Keywords: Deltoid curve; Diaphysis; Greater Tuberosity

Bone loss secondary to primary or metastatic lesions of the proximal humerus remains a challenging surgical problem. Options include preservation joint with stabilisation using internal fixation resection tumour prosthetic replacement. Resection often includes greater tuberosity and adjacent diaphysis, which may result in poor function rotator cuff and/or deltoid function. Preservation reduce time hospital peri-operative morbidity compared replacement, better functional outcome. We included 32 patients pathological fractures this study. Functional radiological assessments were performed. At mean follow-up 17.6 months (8 61) there was no evidence failure fixation. The revised musculoskeletal Tumour Society score 94.6% (86% 99%). There recurrent requiring further surgery four (12.5%). Of 22 who employed prior presentation all returned work without restrictions. use locking plate combined augmentation cement extends indications for salvage good impending fractures.