This video teaches the surgical steps involved in removing (resecting) a bone sarcoma called a chondrosarcoma arising from the proximal humerus “upper part of arm.” This chondrosarcoma was entirely contained by the bone so an intra-articular resection was possible (one that removes the humerus only and not the glenoid). The humerus and shoulder are reconstructed in a way to provide stability and restore function of the limb using a modular segmental tumor prosthesis with a reverse total shoulder replacement. It restores the shoulder to maintain mechanical stability and provide a functional joint. The reverse total shoulder portion of the prosthesis optimizes function of the shoulder joint that is naturally deficient in rotator cuff function after this radical surgery. This is a limb sparing surgery as opposed to performing an amputation of the arm called a forequarter amputation. The procedure described in this video is a reliable method for restoring stability and function of the affected limb. Specific protocols for physical therapy must be adhered to postoperatively for an optimal result. Patients are often kept in a sling for 6 weeks and gradually strengthen muscles with physical therapy.
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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