Functional Results and Emotional Acceptance after Scapulectomy for Malignant Shoulder Tumors

Abstract

Performing scapulectomies on patients with malignant shoulder tumors without prostheses or allograft reconstruction achieves good functional results and emotional acceptance with a low rate of complications.

Application of a three-dimensional printed segmental scapula prosthesis in the treatment of scapula tumors

“…Since then, several limb salvage procedures and different indications for scapula tumors have been published in small series and case reports. 5–8…”

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

“…However, surgical treatment presents a great challenge when the whole scapula is resected. Various methods, including humeral suspension, scapular allograft or autograft replacement and prosthetic implantation, have been described . Humeral suspension after total scapulectomy could achieve satisfactory tumor resection, with a low complication rate; however, this technique was associated with floating humerus (flail shoulder), poor cosmetic outcomes, and restricted joint functions .…”

“…3,7,9,[11][12][13][14] Humeral suspension after total scapulectomy could achieve satisfactory tumor resection, with a low complication rate; however, this technique was associated with floating humerus (flail shoulder), poor cosmetic outcomes, and restricted joint functions. 9,12,24,25 Of note, this technique is still an option if no further reconstruction is possible. Although a good postoperative function was reported in a few studies on structural scapular allograft or autograft reconstruction, limited availability of allograft, and high complication rate (14-67%) may greatly limit this technique.…”

“…However, surgical reconstruction presents a great challenge when the whole scapula is resected. Many methods, such as humeral suspension, autograft, or allograft replacement of scapula and use of scapular prosthesis, have been used for reconstruction after total scapulectomy . Of these methods, the prosthetic reconstruction is considered as the most effective method because of acceptable cosmesis, good postoperative function, and relatively low complication rate .…”

“…Many methods, such as humeral suspension, autograft, or allograft replacement of scapula and use of scapular prosthesis, have been used for reconstruction after total scapulectomy. 4,[7][8][9][10][11][12][13][14][15][16][17] Of these methods, the prosthetic reconstruction is considered as the most effective method because of acceptable cosmesis, good postoperative function, and relatively low complication rate. 3,4,[7][8][9][10][11] Generally, there are two kinds of scapular prosthesis: nonconstrained and constrained.…”