{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,11]],"date-time":"2026-11-11T15:25:44Z","timestamp":1794410744548,"version":"4.9.0"},"reference-count":19,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2023,6,1]],"date-time":"2023-06-01T00:00:00Z","timestamp":1685577600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2023,6,1]],"date-time":"2023-06-01T00:00:00Z","timestamp":1685577600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2023,5,15]],"date-time":"2023-05-15T00:00:00Z","timestamp":1684108800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction and importance:<\/jats:title>\n                    <jats:p>Reconstruction of large skeletal defects pose significant challenges for orthopedic surgeons, particularly in cases of chronic skeletal defects where the surrounding structures differ substantially from the original anatomical structures, further complicating management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation:<\/jats:title>\n                    <jats:p>A 54 year old male patient presented with a large skeletal defect after osteomyelitis surgery. The treatment of choice for this case was reconstruction using a total humerus megaprosthesis. The prosthesis was custom-designed with a reversed shoulder joint and a total elbow joint, which were 3D printed using CT-Scan imaging.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical discussion:<\/jats:title>\n                    <jats:p>A short-term follow-up revealed improvements for the patient in arm functionality and expectation-based satisfaction at 6 months post-surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Total humerus megaprosthesis joint replacement may be a promising option for treating chronic humeral defects.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2023.108326","type":"journal-article","created":{"date-parts":[[2023,5,24]],"date-time":"2023-05-24T02:10:26Z","timestamp":1684894226000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":3,"title":["Total humerus replacement with reverse shoulder design for non-oncologic indication"],"prefix":"10.1097","volume":"107","author":[{"given":"Manh Nguyen","family":"Huu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Quyet","family":"Tran","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Viet Vu","family":"Duc","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dung Tran","family":"Trung","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-28-20260318","doi-asserted-by":"crossref","first-page":"265","DOI":"10.1016\/j.ocl.2015.08.027","article-title":"Reconstruction after tumor resection in the growing child","volume":"47","author":"Groundland","year":"2016","journal-title":"Orthop. Clin. N. Am"},{"key":"R2-28-20260318","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1097\/BOT.0000000000001420","article-title":"Autograft, allograft, and bone graft substitutes: clinical evidence and indications for use in the setting of orthopaedic trauma surgery","volume":"33","author":"Baldwin","year":"2019","journal-title":"J. Orthop. Trauma"},{"key":"R3-28-20260318","doi-asserted-by":"crossref","first-page":"158","DOI":"10.1007\/s00264-005-0029-z","article-title":"Custom mega-prosthetic replacement for proximal humeral tumours","volume":"30","author":"Mayilvahanan","year":"2006","journal-title":"Int. Orthop"},{"key":"R5-28-20260318","doi-asserted-by":"crossref","first-page":"533","DOI":"10.1097\/00006534-197505000-00002","article-title":"The free vascularized bone graft. A clinical extension of microvascular techniques","volume":"55","author":"Taylor","year":"1975","journal-title":"Plast. Reconstr. Surg"},{"key":"R6-28-20260318","doi-asserted-by":"crossref","first-page":"1258","DOI":"10.1302\/0301-620X.96B9.33230","article-title":"Vascularised or non-vascularised autologous fibular grafting for the reconstruction of a diaphyseal bone defect after resection of a musculoskeletal tumour","volume":"96-B","author":"Schuh","year":"2014","journal-title":"Bone Joint J"},{"key":"R7-28-20260318","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1097\/00003086-200101000-00014","article-title":"Factors affecting nonunion of the allograft-host junction","volume":"382","author":"Hornicek","year":"2001","journal-title":"Clin. Orthop. Relat. Res"},{"key":"R8-28-20260318","doi-asserted-by":"crossref","first-page":"1436","DOI":"10.1302\/0301-620X.96B11.34747","article-title":"Classification of failure of limb salvage after reconstructive surgery for bone tumours: a modified system including biological and expandable reconstructions","volume":"96-B","author":"Henderson","year":"2014","journal-title":"Bone Joint J"},{"key":"R9-28-20260318","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1111\/j.1757-7861.2011.00161.x","article-title":"Application of artificial prosthesis reconstruction techniques in malignant tumors around the knee joint","volume":"4","author":"Hu","year":"2012","journal-title":"Orthop. Surg"},{"key":"R10-28-20260318","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1302\/0301-620X.100B1.BJJ-2017-0362.R1","article-title":"The patient-specific triflange acetabular implant for revision total hip arthroplasty in patients with severe acetabular defects: planning, implantation, and results","volume":"100-B","author":"Berend","year":"2018","journal-title":"Bone Joint J"},{"key":"R11-28-20260318","doi-asserted-by":"crossref","first-page":"1100","DOI":"10.2174\/1874325001711011100","article-title":"Shoulder arthroplasty: historical considerations","volume":"11","author":"Zilber","year":"2017","journal-title":"Open Orthop J"},{"key":"R12-28-20260318","doi-asserted-by":"crossref","first-page":"371","DOI":"10.1016\/j.ejso.2009.11.001","article-title":"Replacement of the proximal humerus with MUTARS tumor endoprostheses","volume":"36","author":"Raiss","year":"2010","journal-title":"Eur. J. Surg. Oncol"},{"key":"R13-28-20260318","doi-asserted-by":"crossref","first-page":"e337","DOI":"10.1016\/j.jse.2017.04.019","article-title":"Extra-articular shoulder resections: outcomes of 54 patients","volume":"26","author":"Angelini","year":"2017","journal-title":"J. Shoulder Elb. Surg"},{"key":"R14-28-20260318","doi-asserted-by":"crossref","first-page":"521","DOI":"10.4055\/cios19164","article-title":"Clinical outcomes after reverse Total shoulder arthroplasty according to primary diagnosis","volume":"12","author":"Kim","year":"2020","journal-title":"Clin. Orthop. Surg"},{"key":"R15-28-20260318","doi-asserted-by":"crossref","first-page":"88","DOI":"10.1302\/0301-620X.54B1.88","article-title":"Total replacement arthroplasty of the elbow for rheumatoid arthritis","volume":"54","author":"Dee","year":"1972","journal-title":"J. Bone Joint Surg. (Br"},{"key":"R16-28-20260318","doi-asserted-by":"crossref","first-page":"681","DOI":"10.1302\/0301-620X.97B5.34841","article-title":"Mid-term clinical results of a modern convertible total elbow arthroplasty","volume":"97-B","author":"Wagener","year":"2015","journal-title":"Bone Joint J"},{"key":"R17-28-20260318","doi-asserted-by":"crossref","first-page":"S78","DOI":"10.1016\/j.injury.2016.07.041","article-title":"Modular megaprosthesis reconstruction for oncological and non-oncological resection of the elbow joint","volume":"47","author":"Capanna","year":"2016","journal-title":"Injury"},{"key":"R18-28-20260318","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1007\/s11999-007-0011-8","article-title":"Osteoarticular and Total elbow allograft reconstruction with severe bone loss","volume":"466","author":"Kharrazi","year":"2008","journal-title":"Clin. Orthop. Relat. Res"},{"key":"R19-28-20260318","doi-asserted-by":"crossref","first-page":"106356","DOI":"10.1016\/j.ijscr.2021.106356","article-title":"Non-oncologic indication for elbow megaprothesis replacement: 2 cases report","volume":"86","author":"Tran Trung","year":"2021","journal-title":"Int. J. Surg. Case Rep"},{"key":"R20-28-20260318","doi-asserted-by":"crossref","first-page":"42","DOI":"10.1016\/j.jcot.2021.05.008","article-title":"Complications of modern design total elbow replacement","volume":"15","author":"Kholinne","year":"2021","journal-title":"J. Clin. Orthop. Trauma"}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261223004558?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261223004558?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2023.108326","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T10:02:05Z","timestamp":1773828125000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2023.108326"}},"subtitle":["A case report"],"short-title":[],"issued":{"date-parts":[[2023,6]]},"references-count":19,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2023]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2023.108326","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2023,6]]}}}