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Radial shaft reconstruction with intercalary prosthesis seen as viable for patients with metastatic tumors
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Results from this study demonstrated reconstruction with an intercalary prosthesis may be a suitable treatment option for patients with metastatic disease of the radial shaft who underwent resection of the radial diaphysis.
Researchers retrospectively identified three patients with metastatic disease who underwent wide resection of the radial diaphysis and then reconstruction with a custom intercalary prosthesis with lap joint design. There was a mean follow-up of 18 months. After surgery, the range of motion, weight-bearing status and Musculoskeletal Tumor Society (MTS) functional outcome scores were assessed. At 1-week postoperatively, would healing was assessed, the splint was removed and range of motion without restrictions was encouraged. At 3 weeks, 3 months, 6 months, 1 year and annually thereafter, patients were seen for examination.
All patients at the most recent follow-up were pain free or had minimal pain, according to researchers. Investigators found the mean flexion and extension arc at the elbow was 137° and at the forearm, mean supination was 60° and mean pronation was 70°. Mean plamar flexion was 80° at the wrist and the mean dorsiflexion was also 80°. Patients had a mean MTS score of 26. – by Monica Jaramillo
Disclosures: Gibson reports no relevant financial disclosures. Please see the full study for a list of all other authors’ relevant financial disclosures.
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