Reconstruction with constrained prosthesis after total scapulectomy
Reconstruction with constrained prosthesis after total scapulectomy
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DOI：
10.1016/j.jse.2010.12.014
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发表时间：
2011-10-01
影响因子：
3
通讯作者：
Sun, Xin
中科院分区：
文献类型：
--
作者：
Tang, Xiaodong;Guo, Wei;Sun, Xin
假设：肩胛骨全切除术后进行肩胛骨假体置换可以实现肿瘤挽救，术后功能良好，并发症发生率低。材料与方法：对2003年至2009年期间接受限制性肩胛骨假体置换的10例患者进行回顾性分析。结果：平均随访36个月，2例患者死于疾病。 1例患者出现复发和转移。 2例患者出现脱臼、浅表伤口感染等并发症。肌肉骨骼肿瘤协会 93 的平均得分为 23.2（满分 30 分）。除手部位置外，大多数项目均获得高分；只有5名患者可以将手举至腰部以上。肩关节主动外展和前屈运动范围分别为20度至45度和40度至65度。所有患者均保留了正常的手部和肘部功能。结论：尽管肩部主动运动存在限制，但肩胛骨假体重建可以提供肿瘤学挽救作用，术后功能良好，并发症发生率低。证据级别：IV级，病例系列，治疗研究。 (C) 2011 年肩肘外科杂志董事会。
Hypothesis: Scapular prosthetic replacement after total scapulectomy can result in oncologic salvage and good postoperative function with a low rate of complications.Materials and methods: Ten patients who underwent constrained scapular prosthetic replacement after total scapulectomy between 2003 and 2009 were reviewed retrospectively.Results: At a mean follow-up of 36 months, 2 patients died of their disease. One patient showed recurrence and metastasis. Complications, including dislocation and superficial wound infection, occurred in 2 patients. The mean Musculoskeletal Tumor Society 93 score was 23.2 of 30 points. High scores were achieved for most items except hand position; only 5 patients can raise their hands above their waist. The ranges of active shoulder abduction and forward flexion motion were 20 degrees to 45 degrees and 40 degrees to 65 degrees, respectively. All patients retained normal hand and elbow functions.Conclusion: Although there are limitations in the shoulder's active motion, reconstruction with a scapular prosthesis can provide oncologic salvage and result in good postoperative function with a low rate of complications.Level of evidence: Level IV, Case Series, Treatment Study. (C) 2011 Journal of Shoulder and Elbow Surgery Board of Trustees.