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Fig. 1 | BMC Surgery

Fig. 1

From: Limb salvage surgery with joint preservation for malignant humeral bone tumors: operative procedures and clinical application

Fig. 1

Case 20, a 62-y old female patient with osteolytic lesion due to multiple myeloma in the left humerus. The preoperative bone strength score is 12. a, b The tumor was located in the left humerus shaft (S5). c The patient underwent resection of the tumor and steel plate osteosynthesis with adjunctive bone cement. Fracture and screw breakage occurred 33 months after surgery (arrow). d Then, this patient underwent removement of the internal fixation and intercalary prosthetic reconstruction with an additional plate. e, f Postoperative X-ray indicated that intercalary prosthesis was in excellent position

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