The online version of this article (doi:10.1186/1477-7819-10-36) contains supplementary material, which is available to authorized users.
The authors declare that they have no competing interests.
YY contributed to collection of the clinical data and writing of the manuscript. YT contributed to the writing and editing of the manuscript. Both authors read and approved the final manuscript.
Incisional biopsy and intramedullary pinning were performed for pathological fracture associated with a malignant bone tumor of the proximal humerus. Osteosarcoma, for which preoperative chemotherapy had been performed, was confirmed by postoperative pathological examination. To achieve wide resection and acquire a safe resected margin, total humerus replacement was performed, and the whole humerus was reconstructed using the Howmedica Modular Reconstruction system. The patient resumed normal activities, although mild contracture of the elbow joint remains 8 years after surgery.
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