Reconstruction after the Tikhoff-Linberg procedure
R. Whitehill, H. J. Wanebo, K. N. Mabie, T. Schildwachter and R. Rosenberger
The Tinhoff-Linberg operation is a limb salvage technique that permits
intercapulothoracic resection of malignant neoplasms of the shoulder with
preservation of neuromuscular function of the upper extremity. A metallic
interpositional device can be used to fix the humerus to the second rib,
thus increasing stability and function. This device was used in a patient
with a proximal humeral osteosarcoma who was also treated with radiation
and chemotherapy and who has reasonably good extremity functional and is
free of tumor at one year postoperatively.