Reconstruction with non-vascularized fibular autograft after resection of clavicular benign tumor

Cahueque, Mario; Macías, Daniel; Moreno, Guillermo

doi:10.1016/j.jor.2015.10.008

Cited by 5 publications

(5 citation statements)

References 7 publications

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“…Our study (the average diameter for benign tumors vs. malignant tumors 3.00 ± 1.08 cm vs. 6.23 ± 1.69 cm, P < 0.001) confirmed the characteristics described above. Therefore, it is considered that patients can obtain ideal prognosis using intracapsular scraping or tumor resection followed by autologous bone grafting [5, 6]. However, few studies investigated the postoperative function of the shoulder joint.…”

Section: Discussionmentioning

confidence: 99%

“…However, a unified guideline on the surgical treatment protocol is lacking, and the number of clavicular tumor case is small because of its low incidence [3, 9–11]. For benign clavicular tumors, it is acknowledged that autologous bone grafting after intracapsular scraping or complete tumor resection can result in an ideal outcome [5, 6]. However, the postoperative effect assessment is rarely considered, especially on the functional evaluation of the shoulder joint.…”

Section: Introductionmentioning

confidence: 99%

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Analysis of the clinical efficacy of tumor resection methods used in 20 patients with clavicular tumor

et al. 2019

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Background To retrospectively analyze the tumor resection method used in 20 patients with clavicular tumors and evaluate its clinical efficacy. Methods A total of 9 patients with clavicular benign tumors underwent intracapsular resection, and 11 patients with clavicular malignant tumors underwent tumor resection from May 2012 to May 2017. Of the 11 patients, 5 underwent clavicular reconstruction using the plate-cement complex. Surgical efficacy was assessed using the Musculoskeletal Tumor Society, Constant-Murley, and American Shoulder and Elbow Surgeons shoulder outcome scores preoperatively until 12 months postoperatively. Results The average duration of follow-up care was 33.7 (12–71) months. Of the 20 patients, 3 patients died, 3 survived with tumor recurrence or metastasis, and 14 survived with no tumor recurrence. Among the 5 patients who underwent resection of malignant clavicular tumors and reconstruction, 2 underwent a re-operation because of a loose screw and plate displacement. In the functional assessment of the shoulder joint, patients with benign and malignant clavicular tumors showed significantly higher scores postoperatively compared with preoperative scores. For malignant clavicular tumors, no significant improvement was observed when comparing the non-reconstruction and reconstruction groups. Conclusions Surgery is an optimal treatment for clavicular tumors. In patients with benign clavicular tumors, simple intracapsular resection can achieve a satisfactory prognosis. Reconstruction of a clavicular defect after resection of a clavicular malignant tumor is not recommended.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Analysis of the clinical efficacy of tumor resection methods used in 20 patients with clavicular tumor

et al. 2019

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“…As far as the treatment of vascular diseases such as the abovementioned coronary bifurcation lesions is concerned, autografts are an ideal candidate in transplantation operations [13]. They possess a benign biocompatibility to the host patients, and the rejection rates are usually low.…”

Section: Introductionmentioning

confidence: 99%

A Novel Biodegradable Multilayered Bioengineered Vascular Construct with a Curved Structure and Multi-Branches

et al. 2019

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Constructing tissue engineered vascular grafts (TEVG) is of great significance for cardiovascular research. However, most of the fabrication techniques are unable to construct TEVG with a bifurcated and curved structure. This paper presents multilayered biodegradable TEVGs with a curved structure and multi-branches. The technique combined 3D printed molds and casting hydrogel and sacrificial material to create vessel-mimicking constructs with customizable structural parameters. Compared with other fabrication methods, the proposed technique can create more native-like 3D geometries. The diameter and wall thickness of the fabricated constructs can be independently controlled, providing a feasible approach for TEVG construction. Enzymatically-crosslinked gelatin was used as the material of the constructs. The mechanical properties and thermostability of the constructs were evaluated. Fluid-structure interaction simulations were conducted to examine the displacement of the construct’s wall when blood flows through it. Human umbilical vein endothelial cells (HUVECs) were seeded on the inner channel of the constructs and cultured for 72 h. The cell morphology was assessed. The results showed that the proposed technique had good application potentials, and will hopefully provide a novel technological approach for constructing integrated vasculature for tissue engineering.

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“…Реконструкция с помощью аутокости обеспечивает хорошее сращение и интеграцию в мягкие ткани, придавая тем самым стабильность верхнему плечевому поясу на стороне поражения. К минусам данного метода реконструкции можно отнести дополнительную травматизацию и возникновение костного дефекта в месте забора аутотрансплантата и невозможность восстановления формы надплечья [9,10].…”

Section: Introductionunclassified

“…после операции: послеоперационный рубец без признаков воспаления; функциональный результат лечения по шкале Musculoskeletal Tumour Society (MSTS) -27 баллов, по шкале NEER -92 [13,14]. обсуждение В доступной литературе мы встретили ограниченное количество работ, в которых авторы описывали единичные наблюдения метастатического поражения ключицы, а тактика хирургического лечения определялась лишь личными предпочтениями автора [5][6][7][8][9][10]. Так, g.M.…”

Section: Introductionunclassified

Surgical Treatment of Seminoma Metastasis in Clavicle (Case Report)

Микайлов¹,

Засульский²,

Григорьев³

et al. 2017

Traumatology and Orthopedics of Russia

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Ключица является очень редкой локализацией как первичного опухолевого процесса, так и метастатического поражения костей. В связи с этим в литературе встречается мало сообщений о хирургическом лечении этой патологии. В основном авторы описывают опыт выполнения тотальной либо субтотальной клавикулэктомии без замещения дефекта. Существуют единичные публикации о методах замещения дефектов при помощи аллотрансплантата ключицы, аутотрансплантата из ребра или малоберцовой кости, либо индивидуальных имплантатов. Мы представляем результат лечения метастатического поражения ключицы при семиноме яичка. пациенту была выполнена резекция новообразования с замещением пострезекционного дефекта конструкцией, состоящей из пластины с угловой стабильностью и костного цемента. Функциональный результат через 3 мес. по шкале MSTS составил 27 баллов, достигнут полный объем движений в левом плечевом суставе. предложенный метод может применяться у пациентов молодого возраста с первичным опухолевым процессом или метастатическим поражением ключицы, предъявляющих высокие требования к функциональному и косметическому результатам. Ключевые слова: метастатическое поражение ключицы, метастазирование семиномы, клавикулэктомия.

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Reconstruction with non-vascularized fibular autograft after resection of clavicular benign tumor

Cited by 5 publications

References 7 publications

Analysis of the clinical efficacy of tumor resection methods used in 20 patients with clavicular tumor

Analysis of the clinical efficacy of tumor resection methods used in 20 patients with clavicular tumor

A Novel Biodegradable Multilayered Bioengineered Vascular Construct with a Curved Structure and Multi-Branches

Surgical Treatment of Seminoma Metastasis in Clavicle (Case Report)

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