{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,7]],"date-time":"2026-02-07T15:23:32Z","timestamp":1770477812599,"version":"3.49.0"},"reference-count":21,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"11","license":[{"start":{"date-parts":[[2007,11,1]],"date-time":"2007-11-01T00:00:00Z","timestamp":1193875200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/online.boneandjoint.org.uk\/TDM"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Journal of Bone and Joint Surgery. British volume"],"published-print":{"date-parts":[[2007,11]]},"abstract":"<jats:p> Between 1988 and 2006, 18 patients had a custom-made endoprosthetic replacement of the distal humerus for bone tumours at our institution. There were 11 primary malignant neoplasms, six secondary deposits, and one benign aggressive tumour. The mean follow-up was for 4.4 years (1 to 18.2). Complications occurred in nine patients and included aseptic loosening in three (16.6%), local recurrence in two (11%), infection in two (11%), neuropraxia of the radial nerve in one (5.5%) and a peri-prosthetic fracture in one (5.5%). Excision was inadequate in four patients (22%), all of which developed local recurrence and\/or metastases. There were seven deaths from the primary disease after a mean of 2.3 years (1 to 5), one of whom had an above-elbow amputation for local recurrence seven months before death. The remaining six had satisfactory elbow function at their last follow-up. The 11 living patients were evaluated using the Musculoskeletal Tumour Society and Toronto Extremity Salvage scoring systems. The mean scores achieved were 76% (67% to 87%) and 73% (59% to 79%), respectively. Overall, 17 of 18 patients had significant improvement in the degree of their pain following operation. <\/jats:p><jats:p> Custom-made endoprosthetic reconstruction of the elbow for bone tumours is a viable treatment in carefully selected patients. It maintains satisfactory function and provides good pain relief. <\/jats:p>","DOI":"10.1302\/0301-620x.89b11.19577","type":"journal-article","created":{"date-parts":[[2007,11,12]],"date-time":"2007-11-12T03:27:42Z","timestamp":1194838062000},"page":"1498-1503","source":"Crossref","is-referenced-by-count":44,"title":["Endoprosthetic replacement of the distal humerus following resection of bone tumours"],"prefix":"10.1302","volume":"89-B","author":[{"given":"S. A.","family":"Hanna","sequence":"first","affiliation":[{"name":"London Bone & Soft Tissue Tumour Service"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L. 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