Total scapular replacement: Medium-term follow-up

Vrettos, B; Wallace, W. Angus; Neumann, Lars; Frostick, Simon P.

doi:10.1016/j.jse.2004.01.025

Cited by 9 publications

(4 citation statements)

References 15 publications

(9 reference statements)

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“…Different surgical reconstructions described to maintain arm function include humeral suspension, scapular autograft/allograft, scapular endoprosthesis, 21 and glenothoracic fusion. 3 Whatever the method used, the functional outcome from these conservative operations must at least equal that of radical procedures.…”

Section: Discussionmentioning

confidence: 99%

Extracorporeally irradiated scapula as autograft in tumor surgery

Chandrasekar

Mohammed

Grimer

2009

Journal of Shoulder and Elbow Surgery

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Section: Discussionmentioning

confidence: 99%

Extracorporeally irradiated scapula as autograft in tumor surgery

Chandrasekar

Mohammed

Grimer

2009

Journal of Shoulder and Elbow Surgery

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“…Most authors agree that operative treatment involves a choice between amputation and local resection. Vrettos et al 16 have treated 1 case of Gorham's disease of the scapula and proximal humerus with total scapular replacement and replacement of the proximal humerus. All limb-preserving options were not feasible in our patient because of extensive fibrosis around the vessels and a very large soft-tissue component.…”

Section: Discussionmentioning

confidence: 99%

Progressive massive osteolysis of the humerus

Jangid

Mittal

et al. 2006

Journal of Shoulder and Elbow Surgery

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“…Recent reports of scapular prostheses show an acceptable range of motion and function [3] , [4] , [5] , [6] , but there is no strong evidence of a long term positive outcome using scapular prostheses. Furthermore, a scapular prosthesis is not widely available, and the design is not well established yet.…”

Section: Introductionmentioning

confidence: 98%

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

Hayashi

Niu

Tang³

et al. 2017

Journal of Bone Oncology

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Total scapulectomy and reconstruction has been performed for scapular tumor, however, most of the reconstruction methods have resulted in poor functional outcomes and there is still room for improvement. Most of the reports of reconstruction after scapulectomy are from a single institution. In the present study, we investigated functional outcomes after total scapulectomy in a multicenter study in The Eastern Asian Musculoskeletal Oncology Group (EAMOG). Thirty-three patients who underwent total scapulectomy were registered at EAMOG affiliated hospitals. The patients were separated into no reconstruction group (n=8), humeral suspension group (n=15) and prosthesis group (n=10). Functional outcome was assessed by the Enneking score. One-way ANOVA was used to compare parameters between the patient groups. Complications included five local recurrences, one superficial infection, one dislocation and one clavicle protrusion. The average follow-up period was 43.5 months. The average active flexion range was 45.8° (0–120°), and 37.1° in abduction (0–120°). The mean total functional score was 22.9 out of 30 (15–29), which is a satisfactory score following resection of the shoulder girdle. There were significant differences in reconstruction methods for active range of motion. Bony reconstruction provided better range of motion in this study. There was a variety of reconstruction methods after scapulectomy in the eastern Asian countries. Although better functional score was obtained using scapular prosthesis or recycled bone and prosthesis composite grafting, postoperative function is still lower than preoperative function. Modified designed prosthesis with or without combination of recycle bone or allograft would restore the lost shoulder function in the future.

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Total scapular replacement: Medium-term follow-up

Cited by 9 publications

References 15 publications

Extracorporeally irradiated scapula as autograft in tumor surgery

Extracorporeally irradiated scapula as autograft in tumor surgery

Progressive massive osteolysis of the humerus

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

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