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Doctors at UC Davis Health use the collarbone to create a new upper arm for a young patient

Doctors at UC Davis Health use the collarbone to create a new upper arm for a young patient

UC Davis Health doctors fashion a new upper arm from the collarbone for a young patient. A doctor wearing gloves holds the hands of a young patient to test the strength in the patient's arms and hands.

When nine-year-old Sydney Engle was diagnosed with osteosarcoma in her right arm, she and her parents had several options to prevent the cancer from spreading. Surgery was difficult due to the extent of Sydney’s disease; her young age meant she needed an option that would grow with her body.

Faced with the possibility of amputation, or taking a bone from her leg for her arm, the Engles and her care team at UC Davis Health in Sacramento, Calif., opted for a rare procedure that used Sydney’s collarbone to create a new upper arm. The surgery, called clavicle pro humero, relocated the collarbone, taking away its blood supply from central vessels so it could function as an upper arm.

“I believe our team was the first to do this in the United States years ago,” said R. Lor Randall, MD, a pediatric musculoskeletal oncologist and chief of the Division of Orthopaedic Surgery at UC Davis Health, one of the relatively few physicians who have performed the surgery. “I first learned about the procedure in 2005 while traveling in Africa, where there aren’t as many options as there are here. Today, we’re one of the most experienced teams in the world when it comes to using this technique.”

To learn more about the successful surgery and Sydney’s condition today, read this article from UC Davis Health.

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