Elbow Reconstruction for Distal Humerus Osteosarcoma by Using Extracorporeal Irradiation Autograft

Malignant bone tumor around elbow joint is a rare case. Reconstruction with resection and extracorporeal irradiation is one type of limb salvage procedures. Management of patients with malignant bone tumor of the elbow joints with limb salvage surgery has become the choice of care. A limb-sparing approach is applicable to virtually any bone lession, whether low grade or high grade. Two cases with osteosarcoma in the distal humerus were reported. One case was diagnosed as conventional osteosarcoma and the other as recurrence parosteal osteosarcoma.The diagnosis was established in clinicopathological conference that consist of orthopaedic surgeon, radiologist, pathologist, and hemato-oncologist. Using the extracorporeal irradiation of osteoarticular autogaft limb salvage procedures of distal humerus osteosarcomawere performed. Four weeks after operation the patients regained range of motion from 40 to 95 degree and pain-free elbow function. Evidence of local recurrences or distance metastases, healing process and function of elbow joint were still evaluated.