Fig. 5

a Postoperative radiographs of a 60-year-old man who underwent segmental resection and reconstruction by using a cemented custom-made segmental prosthesis. b, c The X-ray and bone scintigraphy scan taken 48 months show local relapse proximal to the humerus and loosening of the distal stem. d, e The intraoperative pictures showed a lesion at the proximal humerus, and then, revision with a modular proximal humeral prosthesis was performed. f The postoperative image shows that the position of the prosthesis is satisfactory