Your browser doesn't support javascript.
loading
Clinical and functional results after total scapulectomy in orthopedic oncology: are custom-made scapular prostheses better than humeral suspension?
Ipponi, Edoardo; Cordoni, Martina; Bechini, Elena; Gentili, Fabrizia; Cosseddu, Fabio; Campo, Francesco Rosario; D'Arienzo, Antonio; Andreani, Lorenzo.
Afiliación
  • Ipponi E; Department of Orthopedics and Trauma Surgery, University of Pisa, Pisa, Italy.
  • Cordoni M; Department of Orthopedics and Trauma Surgery, University of Pisa, Pisa, Italy.
  • Bechini E; Department of Orthopedics and Trauma Surgery, University of Pisa, Pisa, Italy.
  • Gentili F; Department of Orthopedics and Trauma Surgery, University of Pisa, Pisa, Italy.
  • Cosseddu F; Department of Orthopedics and Trauma Surgery, University of Pisa, Pisa, Italy.
  • Campo FR; Department of Orthopedics and Trauma Surgery, University of Pisa, Pisa, Italy.
  • D'Arienzo A; Department of Orthopedics and Trauma Surgery, University of Pisa, Pisa, Italy.
  • Andreani L; Department of Orthopedics and Trauma Surgery, University of Pisa, Pisa, Italy.
Proc (Bayl Univ Med Cent) ; 37(4): 553-559, 2024.
Article en En | MEDLINE | ID: mdl-38910797
ABSTRACT

Background:

In orthopedic oncology, total scapulectomy is necessary to allow a wide resection of extended malignancies of the scapula and scapular girdle. Scapular reconstruction is challenging even for the most experienced surgeon. This paper reports our experience with total scapular resections, followed by humeral suspension or custom-made prostheses.

Methods:

In this retrospective study, we evaluated all the oncologic patients treated in our institution between 2016 and 2023 with total scapulectomy and consequential reconstruction using humeral suspension or a custom-made prosthesis. Only cases suffering from malignant bone tumors were included. The postoperative functionality of the treated limbs was assessed using the Musculoskeletal Tumor Society (MSTS) scoring scale. Complications and local recurrences were also recorded.

Results:

Nine patients were enrolled. Five had custom-made implants, and four had humeral suspensions. The mean postoperative MSTS score of patients treated with custom-made prostheses was 24.0 (22-26). Globally, our cohort's mean MSTS score was 19.1 (9-26). Patients with custom-made prostheses had significantly better functional outcomes (MSTS 24 vs 13) and similar complication rates (40% vs 50%) than those who received humeral suspensions.

Conclusion:

Our outcomes suggest that, when feasible, custom-made scapular prostheses can represent a reliable reconstructive option after total scapulectomy for malignant scapular tumors.
Palabras clave
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Proc (Bayl Univ Med Cent) Año: 2024 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Proc (Bayl Univ Med Cent) Año: 2024 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Estados Unidos