Experience of total scapular excision for musculoskeletal tumor and reconstruction in eastern Asian countries

Hayashi, Katsuhiro; Niu, Xiaohui; Tang, Xiaodong; Singh, Vivek Ajit; Asavamongkolkul, Apichat; Kawai, Akira; Yamamoto, Norio; Shirai, Toshiharu; Takeuchi, Akihiko; Kimura, Hiroaki; Miwa, Shinji; Tsuchiya, Hiroyuki

doi:10.1016/j.jbo.2016.10.003

Cited by 7 publications

(6 citation statements)

References 20 publications

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“…In that same study, nearly half of patients with scapular replacement had greater than 40 degrees of abduction and forward flexion. In 2017, Hayashi et al mirrored those results in a multicenter study preformed at Eastern Asian Musculoskeletal Oncology Group [18]. Based on Ennekin functional scores, prothesis resulted in improved functional outcomes compared to suspension (23.6 versus 21.4).…”

Section: Discussionmentioning

confidence: 99%

Endoprosthetic Total Scapula Replacement Versus Suspension Arthroplasty Following Tumor Resection

Aboulafia¹,

Monson²,

Thomson³

et al. 2018

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The purpose of this study is to define the minimum requirements for total scapular replacement with metallic endoprosthesis and compare it to suspension arthroplasty. A retrospective analysis was performed of three musculoskeletal tumor registries for patients with scapulectomy for musculoskeletal tumors. Patients were divided into two groups: Group I included eleven patients who had endoprosthetic scapula replacement (Endotec, Bloomfield, NJ, Howmedica, Rutherford, NJ). Group II included nine patients with suspension arthroplasty. Overall MSTS scores were higher in group I than in Group II (23.5+2.5 versus 17+2.6; p=0.0001). Scores in Group I was significantly higher in all categories but dexterity. The lowest score in both groups was in the function category (3.6+0.8 versus 1.7+1.0; p<0.001). The data shows that patients with endoprosthetic replacements have higher MSTS scores in emotional acceptance and function, compared to those with suspension arthroplasty. The greater motion found in group I (endo) was most evident in forward flexion, abduction and external rotation. This was thought to be a results of lateral positioning, scapulothoracic reconstruction and pseudoarthrosis.

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Section: Discussionmentioning

confidence: 99%

Endoprosthetic Total Scapula Replacement Versus Suspension Arthroplasty Following Tumor Resection

Aboulafia¹,

Monson²,

Thomson³

et al. 2018

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“…Scapular endoprostheses is another option, as long as the rhomboids, latissimus dorsi, deltoid, and trapezius muscles are preserved 11 . A recent study comparing these methods showed superior functional result from prosthesis or recycled bone 12 …”

Section: Discussionmentioning

confidence: 99%

“…With its insertion and innervation left intact, the LDMC was rotated superiorly to achieve 2 goals: to cover the posterior defect and to provide a dynamic superior pull to the humerus. The LDMC had been used in a similar fashion in 2 oncological reconstruction cases using custom made scapular endoprosthesis 12 . An ALT flap was used to cover the large anterior soft tissue defect, including the TFL muscle as a functional muscle transfer, to provide secondary dynamic support to the shoulder.…”

Section: Discussionmentioning

confidence: 99%

“…The LDMC had been used in a similar fashion in 2 oncological reconstruction cases using custom made scapular endoprosthesis. 12 An ALT flap was used to cover the large anterior soft tissue defect, including the TFL muscle as a functional muscle transfer, to provide secondary dynamic support to the shoulder. Free functional muscle transfer has been described in brachial plexus reconstruction patients, but not in the total scapulectomy reconstruction literature.…”

Section: Tips and Pearls For Approaching Scapulectomy Patientsmentioning

confidence: 99%

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Static and Dynamic Stabilization of the Shoulder After Total Scapulectomy in an Electric Burn Patient

May¹,

Pathak²,

Pientka³

et al. 2023

Ann Plast Surg

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An otherwise healthy 49-year-old man experienced a high-voltage electrical injury to the left shoulder resulting in total scapulectomy, partial calviculectomy, and a substantial soft tissue defect. The majority of the muscles around his shoulder were debrided because of necrosis, with only the pectoralis and latissimus dorsi muscles remaining attached to the humerus. Surprisingly, the patient's brachial plexus remained intact, and his left elbow, wrist, and hand function were preserved. A novel combination of 3 static and dynamic suspension techniques were used to stabilize his shoulder and prevent traction injury to the brachial plexus. Postoperative follow-up at 1 year demonstrated excellent stability of his reconstructed shoulder, which allowed him to ambulate independently and return to employment.

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“…The overall postoperative survival rate was 88.2% (15/17), and the disease-free survival rate was 70.6% (12/17). In addition, several studies have shown that prosthetic reconstruction can obtain better shoulder joint function and shape than humeral suspension [ 22 , 23 ]. Pritsch et al [ 12 ] included 32 patients who had total scapulectomies (reconstructions with humeral suspensions in 16 patients and scapular endoprostheses in 16 patients), and the results showed that scapular endoprosthetic reconstruction led to better functional and cosmetic results than humeral suspension.…”

Section: Discussionmentioning

confidence: 99%

Oncologic and functional outcomes of different reconstruction modalities after resection of chondrosarcoma of the scapula: a medium- to long-term follow-up study

Liu

Wang

et al. 2022

BMC Musculoskelet Disord

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Objectives To evaluate the oncologic and functional results of scapular reconstruction after partial or total scapulectomy for chondrosarcoma. Materials and methods Twenty-one patients with chondrosarcoma who underwent partial or total scapulectomy between January 2005 and July 2019 were reviewed retrospectively. Results At a mean follow-up of 62.6 months (range, 13–123 months), four patients developed local recurrence, and three developed distant metastases, one of which developed both recurrence and metastasis. The overall survival rate of patients at 5 years was 84.6%, the disease-free survival rate was 69.3%, and the complication rate was 19% (4/21). The 1993 American Musculoskeletal Tumor Society (MSTS93) scores of patients in the partial scapulectomy group, total scapulectomy + humeral suspension group and prosthetic reconstruction group were 26.50 ± 1.38, 19.00 ± 2.58, and 21.38 ± 2.62, respectively. There was a statistically significant difference between the partial scapulectomy group and the total scapulectomy + humeral suspension or prosthetic reconstruction group ( P = 0.006 and 0.0336, respectively). The range of motion of the shoulder joint for forward flexion was 80.83° ± 11.14°, 51.25° ± 21.36°, and 52.50° ± 11.02°, respectively. The p-values for the comparison between the partial scapulectomy group and the total scapulectomy + humeral suspension or prosthetic reconstruction group were 0.0493 and 0.0174, respectively. And the range of motion of abduction was 75.00° ± 10.49°, 32.50° ± 11.90°, 41.88° ± 11.63°, respectively. Patients in the partial scapulectomy group had significantly better postoperative shoulder abduction function than the total scapulectomy + humeral suspension or prosthetic reconstruction group (P = 0.0035 and 0.0304, respectively). There was no significant difference in MSTS93 scores and flexion and abduction function of the shoulder joint in the upper extremity after total scapulectomy with humeral suspension or prosthetic reconstruction (P > 0.05). Conclusions Surgical treatment of chondrosarcoma of the scapula can achieve a satisfactory prognosis and shoulder function. Total scapulectomy followed by prosthetic reconstruction or humeral suspension are both feasible treatments.

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Experience of total scapular excision for musculoskeletal tumor and reconstruction in eastern Asian countries

Cited by 7 publications

References 20 publications

Endoprosthetic Total Scapula Replacement Versus Suspension Arthroplasty Following Tumor Resection

Endoprosthetic Total Scapula Replacement Versus Suspension Arthroplasty Following Tumor Resection

Static and Dynamic Stabilization of the Shoulder After Total Scapulectomy in an Electric Burn Patient

Oncologic and functional outcomes of different reconstruction modalities after resection of chondrosarcoma of the scapula: a medium- to long-term follow-up study

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