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Limb salvage surgery for malignant tumours of proximal humerus is an operative challenge, where the surgeon has to preserve elbow and hand functions and retain shoulder stability with as much function as possible.
The most important issues of limb salvage surgery of proximal humerus are to maximize local control of the tumour, to preserve both elbow and hand functions and to improve shoulder stability and with as much function possible [4, 5, 6, 7, 8].
With the first episode of low back pain the hope is a complete cure; however, if the problems becomes chronic, the goals may change to pain management and the recovery of as much function as possible.
"I am interested in the idea of living with less," said Malouin, 26, who was inspired to cram as much function into a single design as possible.
Surely, the goal for managing patients with periprosthetic fractures must therefore revolve around restoring as much function as possible?
Since early mobilisation of the elbow after surgery of a distal humeral fracture is essential to regain as much function as possible, the re-fixated Chevron osteotomy should be able to withstand the high forces generated across the elbow in daily living in order to allow direct active movement of the elbow.
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