Reconstruction with constrained scapular prosthesis after total scapulectomy for scapular malignant tumor

Wang, Baichuan; Wu, Qiang; Zhang, Zhicai; Liu, Jianxiang; Shao, Zengwu

doi:10.1002/jso.25118

Cited by 10 publications

(7 citation statements)

References 28 publications

(139 reference statements)

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“…At the nal mean follow-up of 61.8 months, the mean MSTS score was 23.5. There were no cases of dislocation or loose joints [20].…”

Section: Discussionmentioning

confidence: 88%

“…At latest follow-up, there was one case of dislocation, one case of infection and the average MSTS score was 76.7% [19]. Wang B et al (2018) reported a series of 8 cases treated with total scapular replacement with a constrained reverse shoulder prosthesis after malignant tumor resection. At the nal mean follow-up of 61.8 months, the mean MSTS score was 23.5.…”

Section: Discussionmentioning

confidence: 99%

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3d Printed Customized Total Scapular Replacement With Constrained Shoulder Joint After Wide Resection For Scapula Chondrosarcoma Treatment: A Case Report

Tran¹,

Dang²,

Tran³

et al. 2021

Preprint

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IntroductionTotal scapular replacement surgery with constrained reverse shoulder joint a complex surgery, especially in the selection of replacement materials. The advent of three-dimensional (3D) printing technique contribute significantly to the success of surgeryCase presentationA 62-year-old female patient discovered a scapular tumor at the end of 2017. She underwent curettage and bone graft surgery 3 times. The histopathological diagnosis was enchondroma. However, tumor recurrence and malignant transformation unfortunately presented later. She visited our center and total scapular replacement with constrained reverse shoulder joint was then performed. After 6 months, the patient's functional outcome was evaluated by using Musculoskeletal Tumour Society Score (MSTS) with a score of 26/30. There was no sign of local tumor recurrence. The functional of elbow and hand was preserved almost completely. The range of active movement of the shoulder was 60° for forward flexion and abduction, and 45° for backward flexion.DiscussionDespite the follow-up time was still short, the use of the constrained shoulder joint with the applications of patient-specific 3D printing showed very positive outcomes. Patient was able to start rehabilitative early without any problems. More follow-up time would be needed to evaluate the long-term effectiveness of this method.ConclusionTotal scapular replacement with constrained reverse shoulder joint using 3D printing technology is a suitable option for the patients with scapular tumor invading the muscles of the rotator cuff.

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“…At the nal mean follow-up of 61.8 months, the mean MSTS score was 23.5. There were no cases of dislocation or loose joints [20].…”

Section: Discussionmentioning

confidence: 88%

Section: Discussionmentioning

confidence: 99%

3d Printed Customized Total Scapular Replacement With Constrained Shoulder Joint After Wide Resection For Scapula Chondrosarcoma Treatment: A Case Report

Tran¹,

Dang²,

Tran³

et al. 2021

Preprint

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“…In 1987, Eckardt [ 18 ] made the first attempt to perform prosthetic reconstruction after total scapulectomy. Since then, several studies have reported that prosthetic reconstruction can achieve good oncological and functional outcomes [ 8 , 19 , 20 ]. Li [ 21 ] reported 17 cases of scapular malignant tumors undergoing total scapulectomy and reconstruction with prostheses.…”

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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“… 11 , 12 A constrained endoprosthesis may lower the complication rate and results in variable function. 13 , 14 …”

Section: Scapulamentioning

confidence: 99%

“…11,12 A constrained endoprosthesis may lower the complication rate and results in variable function. 13,14 The glenoid fragment can be secured to the clavicle to offer a stable platform for elevation (Fig. 1c).…”

Section: Scapulamentioning

confidence: 99%

Reconstruction for bone tumours of the shoulder and humerus in children and adolescents

Hopyan

2021

Journal of Children's Orthopaedics

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Reconstructions for paediatric bone tumours of the shoulder girdle and humerus are intended to optimize placement of the hand in space. Given the longevity of paediatric survivors of sarcoma, durability is an important planning consideration. Here, I review a subset of approaches based on anatomical site with an emphasis on function and longevity. Often, biological reconstructions that combine living bone with tendon repairs and transfers best address those goals.

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Reconstruction with constrained scapular prosthesis after total scapulectomy for scapular malignant tumor

Abstract: Level IV, therapeutic study.

Cited by 10 publications

References 28 publications

3d Printed Customized Total Scapular Replacement With Constrained Shoulder Joint After Wide Resection For Scapula Chondrosarcoma Treatment: A Case Report

3d Printed Customized Total Scapular Replacement With Constrained Shoulder Joint After Wide Resection For Scapula Chondrosarcoma Treatment: A Case Report

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

Reconstruction for bone tumours of the shoulder and humerus in children and adolescents

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