A Successful Reconstruction Using a Frozen Autograft and a Pedicled Latissimus Dorsi Flap after a S12345B Shoulder Girdle Resection in a Patient with Osteosarcoma

Takamasa Shimizu; Akira Kido; Kanya Honoki; Keiichi Murata; Hiromasa Fujii; Banryoku Higuchi; Takashi Ishihara; Yasufumi Takeshita; Midori Shima; Hiroshi Yajima; Manabu Akahane; Yasuhito Tanaka

doi:10.1055/s-0031-1296031

Journal of Reconstructive Microsurgery, Table of Contents

J Reconstr Microsurg 2012; 28(03): 155-160
DOI: 10.1055/s-0031-1296031

Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

A Successful Reconstruction Using a Frozen Autograft and a Pedicled Latissimus Dorsi Flap after a S12345B Shoulder Girdle Resection in a Patient with Osteosarcoma

Takamasa Shimizu

¹Department of Orthopedic Surgery;

,

Akira Kido

¹Department of Orthopedic Surgery;

,

Kanya Honoki

¹Department of Orthopedic Surgery;

,

Keiichi Murata

¹Department of Orthopedic Surgery;

,

Hiromasa Fujii

¹Department of Orthopedic Surgery;

,

Banryoku Higuchi

²Department of Pediatrics;

,

Takashi Ishihara

²Department of Pediatrics;

,

Yasufumi Takeshita

²Department of Pediatrics;

,

Midori Shima

²Department of Pediatrics;

,

Hiroshi Yajima

¹Department of Orthopedic Surgery;

,

Manabu Akahane

³Department of Public Health, Health Management and Policy, Nara Medical University School of Medicine, Nara, Japan.

,

Yasuhito Tanaka

¹Department of Orthopedic Surgery;

› Author Affiliations

Abstract

We present a case of high-grade osteosarcoma in the proximal humerus in an 8-year-old boy. Massive tumor expansion required a S12345B shoulder girdle resection according to the system of the Musculoskeletal Tumor Society. After wide resection, only a small portion of the distal humerus and none of the rotator cuff muscles would be spared. Because the humeral portion would be too short to support the stem and the soft tissue would be insufficient to cover prosthetic components, we designed a composite reconstruction using a frozen autograft and a pedicled muscle flap. At 2 years postoperatively, our patient exhibited good adaptation and had acquired fine dexterity of the upper limb. To our knowledge, this is the first report regarding a successful composite reconstruction after a S12345B shoulder girdle resection.

Keywords

frozen autograft - shoulder girdle resection - pedicled latissimus dorsi flap

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References

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