Total Humeral Endoprosthetic Reconstruction: A Systematic Review.

Total Humeral Endoprosthetic Reconstruction: A Systematic Review.

Total humeral endoprosthetic reconstruction (THER) is a rare reconstruction option for limb salvage surgery for large humeral neoplasms or bone destruction./r/nBecause of the limited data and need for this procedure, we reviewed the literature surrounding THER and assessed functionality, complications, and revisions using the PubMed, Embase, Ovid, and Scopus databases./r/nAmong 29 articles and 175 patients, the most common indication was neoplasm (n=25, 86%), mean follow-up was 61.98 months (SD=55.25 months), and mean Musculoskeletal Tumor Society score was 73.64% (SD=10.69%). Reported complications included 26 (23%) revisions in 7 studies, 35 (36%) cases of shoulder instability in 7 studies, and 13 (13.54%) cases of deep infection in 4 studies./r/nTHER should be considered with a thorough knowledge of outcomes and potential complications to guide patient and clinician expectations. [. 2024;47(3):e106-e113.].