Allograft reconstruction after resection of malignant tumors of the scapula
Allograft reconstruction after resection of malignant tumors of the scapula
复制标题
DOI：
10.1097/01.blo.0000030510.43495.e6
复制
发表时间：
2002-12-01
影响因子：
4.2
通讯作者：
Malinin, TI
中科院分区：
文献类型：
--
作者：
Mnaymneh, WA;Temple, HT;Malinin, TI
回顾了6例恶性肿瘤肩胛骨切除术后行同种异体肩胛骨重建的患者的肿瘤学和功能结局。5名患者患有1113期肿瘤，1名患者患有113期肿瘤。5例患者行全肩胛骨切除术，1例患者行部分肩胛骨切除术（关节盂和颈部）。植入冷冻甘油化肩胛骨同种异体移植物，并用钢板和螺钉固定。肩胛肌与同种异体骨重接，肌腱重建，以取代切除的肌肉2例。随访2-6年，平均3.8年。所有患者的外观、肘关节和手功能均良好。无感染、骨不连或肩关节脱位。1例患者跌倒后同种异体移植物主体断裂。1例患者术后5年局部复发并接受肩胛骨切除术。2例患者在术后3年和5年死于肺转移，但移植物功能正常。使用肌肉骨骼肿瘤协会功能评分的平均功能结果为82（范围，77-87）。在该系列中，肩胛骨同种异体移植重建恢复了外观、肩关节稳定性和功能。建议保留或重建肩袖肌肉。
The oncologic and functional outcomes of six patients who had scapular allograft reconstruction after scapulectomy for malignant tumors were reviewed. Five patients had Stage 1113 and one patient had Stage 113 tumors. Total scapulectomy was done in five patients, and partial scapulectomy (glenoid and neck) was done in one patient. Frozen glycerolized scapular allografts were implanted and fixed with plates and screws. The scapular muscles were reattached to the allograft Tendon reconstruction to replace the excised muscles was done in two patients. The patients were followed up for an average of 3.8 years (range, 2-6 years). Cosmesis, elbow, and hand function were good in all patients. There were no infections, nonunions, or shoulder dislocations. One patient fractured the body of the allograft after a fall. One patient had local recurrence and had scapulectomy 5 years postoperatively. Two patients died 3 and 5 years postoperatively with lung metastases but with functioning grafts. The mean functional result using the Musculoskeletal Tumor Society functional score was 82 (range, 77-87). In this series, scapular allograft reconstruction restored cosmesis, shoulder stability, and function. Preservation or reconstruction of rotator cuff muscles is recommended.