Clinical outcome of total scapulectomy in 10 patients with primary malignant bone and soft-tissue tumors

A patient with scapular Ewing sarcoma; 5-year follow-up after extracorporeal irradiation and re-implantation of the scapula, a case report

“…Several surgical treatment types are available, such as total scapulectomy, constrained prosthesis and scapular allograft. All of these surgical treatment options result in very little or no shoulder function (2) , (4) , (5) , (6) , (7) .…”

Functional outcomes after total scapulectomy for malignant bone or soft tissue tumors in the shoulder girdle

“…Alternatives for reconstruction include several procedures, including humeral suspension, allografts, and/or just suturing the remaining muscles. Nakamura et al [6] reported an average functional result of 64.8% following soft tissue reconstruction using a bone-anchoring system to suture the biceps, triceps, and/or deltoid muscles onto the clavicle (n = 10). CDF in continuously disease-free, AWD alive with disease, DOD died of disease, M male, F female Case 1 underwent humeral suspension, but the active shoulder range was almost zero.…”

“…Residual function of the affected limb tends to be minimal and unsatisfactory. Although various reconstruction techniques after total scapulectomy have been developed, such as prosthetic replacement, recycled bone grafts, or soft tissue reconstruction, the optimal reconstruction technique has not yet been determined because of the difficulties in comparing the different techniques, as the amount of remaining muscle and rotator cuff following scapulectomy varies with each surgery [5][6][7].…”

Extracorporeally irradiated scapula as autograft in tumor surgery

“…Nakamura et al 13 reported that after total scapulectomy, the range of motion of the shoulder joint was seriously limited in all patients. O'Connor et al 14 Chondrosarcomas of the scapula have been reported by Schneiderbauer et al 18 to have a higher rates of local recurrence (40.4%) and metastasis than chondrosarcomas elsewhere.…”