Total Scapulectomy and Shoulder Reconstruction Using a Scapular Prosthesis and Constrained Reverse Shoulder Arthroplasty

Savvidou, Olga D.; Zampeli, Frantzeska; Georgopoulos, George; Dimopoulos, Leonidas; Antoniadou, Thekla; Papanastassiou, Ioannis D.; Papagelopoulos, Panayiotis J.

doi:10.3928/01477447-20181023-05

Cited by 7 publications

(4 citation statements)

References 22 publications

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“…Retrospectively, more scholars advocate the treatment of tumors around the shoulder girdle with artificial prosthesis replacement. 18,19 While most of these prostheses do not match the patient's anatomy and may affect shoulder function, the advent of 3D printing, which allows for customization, may help solve this dilemma. Beltram et al 20 presented a customized scapula prosthesis replacement after tumor resection with an MSTS score of 87%.…”

Section: Discussionmentioning

confidence: 99%

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

et al. 2019

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Chondrosarcoma is characterized by the presence of histologically aggressive behavior, and commonly involves the scapula. Currently, limb salvage surgery is the recommended surgical treatment. Owing to the irregularity of the tumor, the suitability of an implant after tumor resection is a challenge for surgeons. Three-dimensional (3D) printing technology has the potential to make personalized limb salvage surgery a reality. We report the case of a 53-year-old man who was diagnosed with chondrosarcoma of the scapula. Considering the low-grade malignancy and lack of invasion of the glenoid, we agreed upon segmental scapula replacement as the treatment protocol. Nevertheless, reconstruction of the irregular bony defect remaining after tumor resection can be complicated. Therefore, a personalized prosthesis and navigation template corresponding to tumor was designed with 3D printing technique, and tumor resection, prosthesis implantation, and rotator cuff reconstruction were completed. The affected shoulder achieved satisfactory function during a 32-month follow-up with no tumor recurrence. 3D printing technique can help implement the individualized design of the implant and accurate reconstruction after tumor resection, simplify complicated operations, improve operational efficiency, and allow early functional recovery.

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Section: Discussionmentioning

confidence: 99%

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

et al. 2019

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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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Total Scapulectomy and Shoulder Reconstruction Using a Scapular Prosthesis and Constrained Reverse Shoulder Arthroplasty

Cited by 7 publications

References 22 publications

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

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

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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