Abstract:
:Limb salvage is the treatment of choice for malignant shoulder girdle tumors; however, there is a paucity of data examining the long-term outcome. The authors have previously reported on a cohort of patients at short- and mid-term follow-up. The purpose of this study was to report the long-term outcome of shoulder reconstruction in terms of oncological and functional outcome. The authors reviewed 53 patients who underwent a limb salvage procedure for treatment of a tumor of the shoulder girdle. At a mean of 28 years following the resection, 76% of surviving patients were contacted and administered functional outcome scores using the Musculoskeletal Tumor Society (MSTS) and Toronto Extremity Salvage (TESS). The 20-year survival and recurrence-free survival were 79% and 80%, respectively. Likewise, the 20-year revision survival was 75%, with a limb salvage rate of 94%. At last follow-up, the mean MSTS rating and TESS score were 75% and 85%, respectively, with 9 patients having improvement in their MSTS rating from the previous findings. Limb salvage following resection of shoulder girdle tumor resulted in acceptable means of oncological outcome and function. Some patients continued to experience improvements in functional outcome even at late (>20 years) follow-up. [Orthopedics. 2019; 42(6):e514-e520.].
journal_name
Orthopedicsjournal_title
Orthopedicsauthors
Scorianz M,Houdek MT,Sherman CE,Sim FH,O'Connor MIdoi
10.3928/01477447-20191001-01subject
Has Abstractpub_date
2019-11-01 00:00:00pages
e514-e520issue
6eissn
0147-7447issn
1938-2367journal_volume
42pub_type
杂志文章相关文献
ORTHOPEDICS文献大全abstract::One hundred seventy-five threaded titanium alloy prostheses (TTAP) acetabular cups and 125 cemented cups were evaluated clinically and radiographically at 1 to 3 years postoperatively. The series was statistically different in that there were more women in the cemented group than in the non-cemented group (P less than...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:1989-09-01 00:00:00
abstract::Electromyographic biofeedback is a therapeutic modality used along with other interventions in the treatment of pain. This article presents a brief review of the effectiveness of electromyographic biofeedback in treating musculoskeletal pain. Electromyographic biofeedback may provide pain relief for chronic musculoske...
journal_title:Orthopedics
pub_type: 杂志文章,meta分析
doi:
更新日期:2008-10-01 00:00:00
abstract::Posterior tibialis tendon rupture is a diagnosis that is often missed in sports-related injuries. This is thought to be secondary to the nonspecific clinical findings in healthy, active individuals, and the lack of any laboratory or radiographic test to reliably confirm the diagnosis. We report five cases of surgicall...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:1995-08-01 00:00:00
abstract::Sacrectomy is intended to resect aggressive local and life-threatening disease. Reconstruction can be difficult. This article reports on the use of sacrectomy for tumor and tumor-like conditions. Procedures included 9 partial, 7 subtotal, 7 hemi-, and 4 total sacrectomies. Of 22 patients with primary malignant disease...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:2005-03-01 00:00:00
abstract::The implants used in reverse shoulder arthroplasty were originally designed for white patients; thus, they might not be optimal for smaller Asian patients. The selection of reverse shoulder arthroplasty systems is limited in Japan. The purpose of this study was to measure the geometry of the proximal humerus in elderl...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20170308-03
更新日期:2017-05-01 00:00:00
abstract::Total hip or knee replacement patients who are overweight or obese often consider their disabling joint disease a cause for their increased weight. This prospective study investigated weight change in 100 patients after successful total joint replacement to determine whether surgical treatment of hip or knee arthritis...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:2005-02-01 00:00:00
abstract::Proximal femoral valgus osteotomy for Legg-Calvé-Perthes disease was evaluated at an average 5 years postoperatively in 31 consecutive patients. The indications for osteotomy were hinge abduction and pain. The Iowa hip scores at follow-up for 21 patients averaged 93 points. Combined clinical and radiographic review fo...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:2002-05-01 00:00:00
abstract::As an alternative to a limited vendor/volume discount approach, our hospital employed a physician-driven free market strategy aimed at reducing joint implant costs. Surgeons were provided with vendor pricing and peer profile comparisons of implant cost data and asked to select implants providing the best value based o...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:2000-05-01 00:00:00
abstract::A 40-year-old male weightlifter presented with a 6-month history of a painless mass in the right deltoid. He had no history of trauma to the shoulder other than an arthroscopic rotator cuff repair a few weeks earlier. Physical examination showed a firm, nontender mass located longitudinally and coinciding with the del...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20140825-92
更新日期:2014-09-01 00:00:00
abstract::The literature is inconclusive on the development of adjacent-level vertebral fracture after initial cement augmentation. A preliminary hypotheses is that cement injection exaggerates force transmission to the adjacent vertebral bodies, thereby predisposing those levels to future fractures. A sandwich vertebra is an i...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20120725-24
更新日期:2012-08-01 00:00:00
abstract::Athletic team coverage experience varies widely across orthopedic surgery residency programs in the United States. There is a paucity of literature regarding whether serving as a team physician contributes to resident education and whether it can be performed within the bounds of current work-hour restrictions. Reside...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20200827-08
更新日期:2020-11-01 00:00:00
abstract::The purpose of this study was to investigate the latest trends and demographics of surgical treatment of posterior cruciate ligament (PCL) insufficiency in the United States. Patients who underwent surgical treatment of PCL insufficiency from 2007 to 2011 were identified by searching the International Classification o...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20150402-55
更新日期:2015-04-01 00:00:00
abstract::This study examined the axial and torsional stiffness of polyaxial locked plating techniques compared with fixed-angle locked plating techniques in a distal tibia pilon fracture model. The effect of using a polyaxial screw to cross the fracture site was examined to determine its ability to control relative fracture si...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20150804-51
更新日期:2015-08-01 00:00:00
abstract::A simple method of extracting broken distal tibial-fibular syndesmotic or cross-locking screws for intramedullary nails is illustrated. After extraction of the head portion of the broken screw, a blunt impactor is introduced through the vacant screw hole and abutted to the remaining portion of the screw tip. The screw...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:1994-07-01 00:00:00
abstract::Skeletal dysplasia or dwarfism presents in a host of manners. Degenerative hip disease can present as a primary problem secondary to the abnormal growth disturbance or secondarily from the abnormal load distributions through the hip joint itself. Total hip arthroplasty is a successful procedure but sought with increas...
journal_title:Orthopedics
pub_type: 杂志文章,评审
doi:
更新日期:2005-09-01 00:00:00
abstract::A considerable proportion of bone fractures show signs of delayed or impaired healing. A novel device that applies interfragmentary compressive forces to the fracture site was developed and evaluated for its effect on fracture healing. The midshafts of the right tibias of 16 rabbits were osteotomized, leaving a 2-mm g...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:2009-03-01 00:00:00
abstract::Poor outcomes associated with increased perioperative opioid use have led investigators to seek alternative pain management modalities after total joint arthroplasty. Nonpharmacological approaches, such as electroceuticals, have shown promise. The purpose of this study was to evaluate the effects of "havening," a spec...
journal_title:Orthopedics
pub_type: 杂志文章,随机对照试验
doi:10.3928/01477447-20181010-04
更新日期:2018-11-01 00:00:00
abstract::Thyroid acropachy is a rare complication of thyroid disease most often occurring in patients with a long history of active Graves' disease with ophthalmopathy and dermopathy already present. It presents with digital clubbing and soft tissue swelling with possible pain in the digits. Plain radiographs show a solid peri...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20080101-38
更新日期:2008-01-01 00:00:00
abstract::The orthopedic experience of a U.S. Army MASH unit deployed in southern Iraq is discussed. Seventy major casualties were surgically treated in a short time span. A high percentage of extremity trauma was observed (69%). Many patients had multiple extremity involvement. The emergency wartime surgical treatment of four ...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:1992-04-01 00:00:00
abstract::The degree to which subjective patient-reported measures reflects objective findings or how well subjective and objective measures reflect patient satisfaction is not well established. The purpose of this study was to determine the correlation between such measures before and after shoulder arthroplasty. A group of 17...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20130523-29
更新日期:2013-06-01 00:00:00
abstract::When conservative measures fail to alleviate pain and disability of ankle joint disease, tibiotalar arthrodesis is the present accepted surgical treatment. Unfortunately, ankle arthrodesis also carries a significant rate of complications and the success rate does not parallel the results of hip and knee joint arthropl...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:1987-01-01 00:00:00
abstract::Reconstruction of the femur depends on the quantity of bone loss and the quality of the remaining bone stock. Multiple classifications and reporting systems can be used to characterize the bone defect. We present a simple algorithmic approach for proximal femoral bone loss reconstruction during revision total hip arth...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20090728-18
更新日期:2009-09-01 00:00:00
abstract::The purpose of this study was to define a new clinical classification of atlantoaxial dislocation based on its clinical manifestations, namely reducible atlantoaxial dislocation (RAAD), irreducible atlantoaxial dislocation (IAAD), and fixed atlantoaxial dislocation (FAAD). A total of 107 patients with atlantoaxial dis...
journal_title:Orthopedics
pub_type: 临床试验,杂志文章
doi:10.3928/01477447-20121217-25
更新日期:2013-01-01 00:00:00
abstract::The purpose of this study was to evaluate the outcome of patients treated with open reduction and internal fixation (ORIF) using dorsal plates and screws (AO/ASIF pi-plate) for dorsally displaced fractures of the distal radius. Although extensor tendon rupture is a recognized complication of all distal radial fracture...
journal_title:Orthopedics
pub_type: 临床试验,杂志文章
doi:10.3928/01477447-20110526-10
更新日期:2011-07-07 00:00:00
abstract::A series of 12 patients was retrospectively reviewed to evaluate the use of sliding trochanteric osteotomy for reduction of hip dislocations that were irreducible due to interposed posterior wall fragments. Compared to similar patients who did not have irreducible dislocation or trochanteric osteotomy, the 12 patients...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:2004-02-01 00:00:00
abstract::As a screening tool, CT angiography has excellent sensitivity and specificity combined with fewer complications compared to conventional arteriography. ...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20080801-27
更新日期:2008-08-01 00:00:00
abstract::Thirty-five unicondylar knee arthroplasties were performed on 32 patients. In the unresurfaced compartments, degenerative cartilaginous changes were observed intraoperatively and recorded. The Outerbridge grading scale was used to assess the degree of arthritic change. In addition, the surface area involved was estima...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:1990-03-01 00:00:00
abstract::Venous thromboembolism is an important complication in patients undergoing major orthopedic surgery. Without prophylaxis, there is a 50% to 60% incidence of deep vein thrombosis (DVT), a 10% to 30% incidence of proximal vein thrombosis, and a 1% to 2% rate of fatal pulmonary embolism after total hip replacement. The i...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:1995-07-01 00:00:00
abstract::Proximal fibular stress fracture is an uncommon injury in athletes but has been frequently reported in the military population. Although the true incidence is unknown and its pathophysiology is not completely understood, proximal fibular stress fracture is believed to be a rare injury and awareness of it will help cli...
journal_title:Orthopedics
pub_type: 杂志文章
doi:
更新日期:2002-03-01 00:00:00
abstract::The discoid lateral meniscus has been well described. The ring-shaped lateral meniscus was not originally included in the classification systems but has been reported in the literature several times. This article describes a unique variation of the ring lateral meniscus in which the anterior root attachment was to the...
journal_title:Orthopedics
pub_type: 杂志文章
doi:10.3928/01477447-20200923-06
更新日期:2021-01-01 00:00:00