Table 7.
Summary of the data from the recent studies on the use of Allograft Prosthesis Composite for the management of massive skeletal defects in proximal humerus.
| Authors | Diagnosis | No of patients | Average age (years) | Average Follow up | Clinical outcome | Radiological Outcome | Complications | Result | Survival |
|---|---|---|---|---|---|---|---|---|---|
| Mansat et al.81 | Failed TER | 13 | 62 | 42 m | MEPS: | – | 4 infections | 5 revisions | – |
| 4 Excellent | 2 non-unions | 3 APC removal | |||||||
| 3 Good | |||||||||
| 1 Fair | |||||||||
| 5 Poor | |||||||||
| Amirfeyz et al.82 | Failed TER | 10 (11 elbows) | 64 | 75 m | MEPS = 74 | 3 partial resorption in humeral side | 1 infection | 1 APC removal | – |
| 8 humeral APC | 4 partial resorption in ulnar side | ||||||||
| 6 Ulnar APC | |||||||||
| Morrey et al.83 | 22 Failed TER | 25 | 60 | 3.4 y | MEPS = 84 | 92% incorporated with host bone | 3 infection | 9 reoperations | – |
| 1 Failed hemiarthroplasty | 3 fractures | ||||||||
| 1 resection arthroplasty | 1 non-union | 4 resection arthroplasty | |||||||
| 1 non-union | 1 malunion | ||||||||
| Renfree et al.84 | 5 failed TER | 10 (14 APCs) | 58 | 6.5 y | BMES = 20 | 79% incorporated | 1 infection | 4 allograft related failures | – |
| 3 humeral non-union | HSSES = 37 | 1 non-union | |||||||
| 1 Ulnar non-union | 1 complete resorption of olecranon | ||||||||
| 1 OM proximal ulna |
Abbreviations: m = months, y = years, TER = Total Elbow Arthroplasty, MEPS = Mayo Elbow Performance Score, OM = Osteomyelitis, BMES = Bryan-Morrey Elbow Score, HSSES = Hospital for Special Surgery Elbow Score.