Wide en bloc extra-articular excision of the elbow for sarcoma with complex reconstruction Journal Article


Authors: Schwab, J. H.; Healey, J. H.; Athanasian, E. A.
Article Title: Wide en bloc extra-articular excision of the elbow for sarcoma with complex reconstruction
Abstract: We describe a consecutive series of five patients with bone or soft-tissue sarcomas of the elbow and intra-articular extension treated by complex soft tissue, allograft bone and prosthetic joint replacement after wide extra-articular en bloc excision. All had a pedicled myocutaneous latissimus dorsi rotation flap for soft-tissue cover and reconstruction of the triceps. Wide negative surgical margins were obtained in all five patients. No local wound complications or infections were seen. There were no local recurrences at a mean follow-up of 60 months (20 to 105). The functional results were excellent in four patients and good in one. Longer term follow-up is necessary to confirm the durability of the elbow reconstruction. ©2008 British Editorial Society of Bone and Joint Surgery.
Keywords: osteosarcoma; adult; clinical article; controlled study; treatment outcome; bone neoplasms; middle aged; allograft; excision; humerus; surgical technique; arthroplasty, replacement; bone transplantation; joint prosthesis; reconstructive surgical procedures; recovery of function; retrospective studies; surgical flaps; doxorubicin; outcome assessment; follow up; magnetic resonance imaging; dacarbazine; etoposide; combination chemotherapy; cyclophosphamide; vincristine; ifosfamide; ewing sarcoma; sarcoma; device; elbow; soft tissue sarcoma; brachytherapy; external beam radiotherapy; synovial sarcoma; sarcoma, synovial; sarcoma, ewing's; prosthesis; soft tissue neoplasms; histiocytoma, malignant fibrous; elbow joint
Journal Title: Journal of Bone and Joint Surgery - Series B
Volume: 90
Issue: 1
ISSN: 0301-620X
Publisher: British Editorial Society of Bone and Joint Surgery  
Date Published: 2008-01-01
Start Page: 78
End Page: 83
Language: English
DOI: 10.1302/0301-620x.90b1.19958
PUBMED: 18160504
PROVIDER: scopus
DOI/URL:
Notes: --- - "Cited By (since 1996): 5" - "Export Date: 17 November 2011" - "CODEN: JBSUA" - "Source: Scopus"
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MSK Authors
  1. Joseph H Schwab
    13 Schwab
  2. John H Healey
    440 Healey