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Extremities Feature

Implantcast GmbH’s MUTARS / Source: The Dallas Limb Restoration Center

Implantcast’s First Total Humerus Replacement in U.S.

Elizabeth Hofheinz, M.P.H., M.Ed. • Wed, September 17th, 2014

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After working for four months to get the FDA go-ahead, Richard Buch, M.D. was able to save a man’s arm. Dr. Buch, an orthopedic surgeon at The Dallas Limb Restoration Center, performed the first total humerus replacement in the U.S. using Implantcast GmbH’s MUTARS (Modular Universal Tumour and Revision System). Dr. Buch replaced the patient’s entire arm from the elbow to shoulder.

According to the September 10, 2014 news release, Implantcast is utilized in Europe, but has yet to be cleared in the U.S. Dr. Buch is the sole surgeon who has been approved to use MUTARS in this country.

The news release stated that this patient “had a severe infection in his right arm and completely lost mobility, due to damage from infection. This patient had seven prior surgeries before being referred to our center and an amputation was recommended.”

Asked what made this case so unusual, Dr. Buch told OTW, “This is the first time a silver coated prosthesis has been used in the United States. We had to seek special approval from the FDA to use the implants for this patient’s specific case. Before coming to our center this patient was told he needed to have his arm amputated but we were able to save his arm with this technology.”

As for what Dr. Buch said he’d like his orthopedic colleagues to know, he noted, “There are alternative treatments available that most do not know about. This technology allows patients with severe infections to be reconstructed better then in anything in the past, we can now save limbs that were that were previously unsalvageable.”

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Comments

4 Responses to “Implantcast’s First Total Humerus Replacement in U.S.”

  1. Murad Lenghi says:

    This is a great achievement and will be interested to know the long term functional results?!
    Total humeral replacement is only the start and I expect other long bone replacements will be seen in the future ..
    Murad Lenghi

  2. Chad says:

    Again, I’m not sure where these people are getting their information, but this is not the first total humerus in the US. Biomet has had a total humerus (SRS comprehensive shoulder system) for the past 2 years. It’s FDA cleared in the US and Europe. Looking at where this was developed (Texas) it’s probably a knockoff of the comprehensive system…Biomet has a large presence in the Dallas area.

  3. Marc Klein says:

    Chad, topic was not that implantcast did the first total humerus replacement in the US. It was the first silver coated total humerus prosthesis used in the US, actually first time any silver coated prosthesis was used in the US according to this article.

    The system was also not developed in Texas. Was developed in Germany and much longer than 2 years ago. So surely no knockoff of Biomet if that is what you were referring to.

  4. Victor LoRusso says:

    My adopted daughter, 17 had sepsis as an infant in a Russian orphanage. She has just a small piece of her humerus remaining. The top portion of her arm is becoming very thick and her arm is very much shorter than the other. Her shoulder area is becoming painful because it is getting heavier as she grows up. We’ve gotten little or no help at all from Children’s Healthcare of Atlanta, nor do they even seem interested. They took several x-rays and MRIs and said they would talk to their colleagues and give us some ideas. This was over a year ago. I want someone who will take an interest in her issue. Any suggestions on where to begin.

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