This video teaches the surgical steps involved in limb sparing surgery for removing (resecting) a bone sarcoma called an osteosarcoma arising from the left proximal humerus “upper part of arm near shoulder.” This is an extra-articular resection that includes the proximal humerus and glenoid (ball and cup). Sarcomas of the proximal humerus that extend outside the bone cross the shoulder joint easily and contaminate the glenoid so in many instances the glenoid is removed with the humerus to minimize the risk of the osteosarcoma recurring (coming back in the shoulder girdle region). An intra-articular resection would include the proximal humerus only. The shoulder is reconstructed in a way to provide stability and restore function of the limb and shoulder using a special tumor prosthesis. The prosthesis can be sized and assembled in the operating room. Special steps are taken to stabilize the prosthesis with static suspension methods using heavy non-absorbable sutures and dynamic suspension methods with multiple muscle flaps. The muscle flaps also cover the entire prosthesis with good soft tissue and protect it from infection as well as restore some external rotation. They ultimately scar around the prosthesis and stabilize it. This is a limb sparing surgery as opposed to performing a forequarter amputation of the arm. The procedure described in this video is a reliable method for restoring stability of the shoulder and function of the hand and elbow. Specific protocols for physical therapy and use of a sling or a brace for a period of time must be adhered to postoperatively for an optimal result.

Dr. James C. Wittig is a world-renowned Orthopedic Oncologist and Sarcoma Surgeon who has been in practice for over 20+ years. He has performed close to 10,000 orthopedic oncology and sarcoma surgeries for various musculoskeletal tumors. Dr. Wittig maintains an active subspecialty clinical practice that focuses on treating pediatric and adult patients with bone sarcomas and soft tissue sarcomas (cancers) as well as benign bone and soft tissue tumors and metastatic cancers to bone. He focuses on complex Limb Sparing Surgery (Limb Saving) for sarcomas. Dr. Wittig has a particular subspecialty interest and extensive experience in limb sparing surgery for shoulder girdle tumors, cryosurgery, radio-frequency ablation and minimally invasive biopsies. He has been named one of the top 13 orthopedic oncologists in the United States. He has also been featured as a Top Doctor in the New York Metro area by New York Magazine and Castle Connolly (2009-2022) as well as America's Top Cancer Doctor and America’s Top Doctor by Castle Connolly. At the time of this post, in 2022, Dr. Wittig holds the position of Chairman of Orthopedic Surgery at Morristown Medical Center and Medical Director of Orthopedics, Orthopedic Oncology, and Sarcoma Surgery in Atlantic Health System in New Jersey. He has previously served as Chief of Orthopedic Oncology and Vice Chairman of Orthopedics at Hackensack University Medical Center, and Chief of Orthopedic Oncology at NYU and Mt. Sinai Medical Center. Under Dr. Wittig's leadership, the department of Orthopedic Surgery at Morristown Medical Center has achieved national recognition as the number 23 Orthopedic Program in the United States and the number 1 Orthopedic Program in New Jersey for several years in a row by US News & World Report. Morristown Medical Center has been named the number 1 hospital in New Jersey for the last 5 years by US News & World report.

For more information about Dr. Wittig or the conditions he treats please visit:

www.TumorSurgery.org
www.OrthopedicOncologist.com

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