What is the Optimal Reconstruction Option After the Resection of Proximal Humeral Tumors? A Systematic Review

Abstract

The authors present a systematic review where 50 of 454 articles were selected on reconstruction for bone loss in both metastatic and primary proximal humerus tumors [1]. Described are a number of reconstruction options, the wide variation of patient demands for which options may be applied, and a number of neuromuscular variables. The review is not intended to be a procedural outline but is designed to show the options for post-tumor reconstruction surgery around the proximal humerus and glenoid. The undertaking of this review required members of a single center where many of these techniques are applied over time. Albeit the patient follow-up in the review is fairly long for some procedures, there is no discussion on specific management for treating more aggressive tumors or those with a high local recurrence rate. The authors do state that there are circumstances where it makes sense to pursue the simplest option with the least risk of complications. On the other hand, more complex procedures might be offered for specific anatomic scenarios along with consideration of the patient’s physical demands and tolerance for complications.