Evidence map›Paper›PMID 41589218›Full record

ArticleCase reports in orthopedics2026

Functional Elbow Reconstruction After Complete Ulnar Resection for Ewing's Sarcoma: Radial Neck Transposition as a Biomechanical Alternative.

Fernando Brasil do Couto Filho, Deivid Ramos Dos Santos, Luiz Claudio Campelo Barbosa, Felipe Guimarães Magno, Henrique Ribeiro Rodrigues Neto, Rodrigo Da Silva Cordeiro, Lorenzo Giordano do Couto, Eurineto Gomes do Nascimento, Raul Martins Barra

Abstract read
In one paragraph

Article in Case reports in orthopedics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Fernando Brasil do Couto FilhoHead of Department of Orthopedic Oncology, Octavio Lobo Pediatric Oncology Hospital, Belém, Pará, Brazil.ORCID https://orcid.org/0000-0003-2807-7600
Deivid Ramos Dos SantosDepartment of Orthopedic Oncology and State University of Pará-Postgraduate Program in Surgery and Experimental Research, Octavio Lobo Pediatric Oncology Hospital, Belém, Pará, Brazil.ORCID https://orcid.org/0000-0002-7558-0359
Luiz Claudio Campelo BarbosaDepartment of Orthopedic Oncology, Octavio Lobo Pediatric Oncology Hospital, Belém, Pará, Brazil.ORCID https://orcid.org/0009-0006-2102-138X
Felipe Guimarães MagnoDepartment of Orthopedic Oncology, Santa Casa de Misericórdia de São Paulo and Octavio Lobo Pediatric Oncology Hospital, São Paulo, São Paulo, Brazil.ORCID https://orcid.org/0009-0009-0078-4507
Henrique Ribeiro Rodrigues NetoDepartment of Orthopedic Oncology, Octavio Lobo Pediatric Oncology Hospital, Belém, Pará, Brazil.ORCID https://orcid.org/0000-0003-4286-0992
Rodrigo Da Silva CordeiroDepartment of Orthopedic Oncology, Octavio Lobo Pediatric Oncology Hospital, Belém, Pará, Brazil.ORCID https://orcid.org/0000-0001-6128-7613
Lorenzo Giordano do CoutoDepartment of Orthopedic Oncology, Octavio Lobo Pediatric Oncology Hospital, Belém, Pará, Brazil.ORCID https://orcid.org/0009-0003-4723-7857
Eurineto Gomes do NascimentoDepartment of Orthopedic Oncology, Octavio Lobo Pediatric Oncology Hospital, Belém, Pará, Brazil.ORCID https://orcid.org/0000-0003-0291-903X
Raul Martins BarraDepartment of Orthopedic Oncology, Octavio Lobo Pediatric Oncology Hospital, Belém, Pará, Brazil.ORCID https://orcid.org/0009-0008-2014-6169

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Ewing's sarcoma of the ulna is rare, and its wide resection poses challenges for preserving upper limb function. Elbow reconstruction must ensure joint stability and forearm mobility. Conventional alternatives, such as bone grafts and prostheses, have limitations, including a high risk of complications. Objective: This study was aimed at reporting a case of elbow reconstruction using radial neck transposition to the humeral trochlea after ulnar resection for Ewing's sarcoma, evaluating the functional outcomes of this technique. Methods: A 17-year-old male patient with Ewing's sarcoma in the ulnar diaphysis underwent complete ulnar resection. Radial neck transposition to the humeral trochlea was performed. Follow-up included functional assessment using the Musculoskeletal Tumor Society (MSTS) scale and postoperative imaging. Results: After 2 years, the patient had an MSTS score of 28/30, with preserved wrist and hand mobility, full pronation, and supination reduced to half. Radiographic follow-up demonstrated proper alignment of the reconstruction, with no instability or bone resorption. Conclusion: Radial neck transposition proved to be a viable alternative for elbow reconstruction after ulnar resection, providing stability and functional preservation. Further studies are needed to validate its application on a larger scale.

Indexed as

elbow reconstructionEwing′s sarcomalimb salvageorthopedic oncologyradial neck transposition

Identifiers

PMID41589218
PMCPMC12832123

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.