Abstract:
PURPOSE:Recently, endoprosthesis reconstruction has been used for scapular malignant tumours. Our aim is to present and evaluate the clinical indications, peri-operative technique, and mid-term clinical results. METHODS:Scapular hemiarthroplasty after total scapulectomy has been performed in 15 patients between 2011 and 2014. Clinical records and radiographs were evaluated retrospectively. RESULTS:The average follow-up was 41.2 months. No infection, dislocation, pressure ulcer, wound healing problems or mechanical failures were reported. Three patients died due to lung metastasis. The final follow-up average Musculoskeletal Tumor Society (MSTS) scoring system score was 25.3 points. The average ranges of motion of shoulder abduction and forward flexion were 45.3°and 65.7°, respectively. There were significant differences in function, lifting ability, MSTS scores, abduction function and flexion function between the seven patients with artificial ligament reconstruction for articular capsule and the others with direct suture. Three patients who had reconstruction of the rotator cuff were verified to gain better post-operative hand positioning, lifting ability, MSTS score, and abduction function than the others without rotator cuff reconstruction. CONCLUSIONS:As long as the indications and surgical skills are fully mastered, reconstruction with the scapular hemiarthroplasty endoprosthesis can result in mid-term oncologic salvage, good post-operative function and low complication rate after scapulectomy for malignant tumors.
journal_name
Int Orthopjournal_title
International orthopaedicsauthors
Min L,Zhou Y,Tang F,Zhang W,Luo Y,Duan H,Tu Cdoi
10.1007/s00264-017-3429-ysubject
Has Abstractpub_date
2017-05-01 00:00:00pages
1057-1063issue
5eissn
0341-2695issn
1432-5195pii
10.1007/s00264-017-3429-yjournal_volume
41pub_type
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-010-1081-x
更新日期:2011-05-01 00:00:00
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journal_title:International orthopaedics
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journal_title:International orthopaedics
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journal_title:International orthopaedics
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journal_title:International orthopaedics
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pub_type: 杂志文章,meta分析,评审
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journal_title:International orthopaedics
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journal_title:International orthopaedics
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journal_title:International orthopaedics
pub_type: 杂志文章
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journal_title:International orthopaedics
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更新日期:1981-01-01 00:00:00
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更新日期:1999-01-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-020-04656-0
更新日期:2020-11-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-004-0589-3
更新日期:2004-12-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-016-3386-x
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00266837
更新日期:1984-01-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
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pub_type: 杂志文章,多中心研究
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00180118
更新日期:1990-01-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章,评审
doi:10.1007/s00264-010-1203-5
更新日期:2011-06-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章,评审
doi:10.1007/s00264-007-0493-8
更新日期:2009-04-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-017-3430-5
更新日期:2017-07-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-011-1419-z
更新日期:2012-06-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-013-2001-7
更新日期:2013-12-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
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更新日期:2012-03-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
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更新日期:2015-03-01 00:00:00