Use of polypropylene mesh to stabilize the "floating humerus" after total scapulectomy.
Total scapulectomy for malignant disease is a rarely performed procedure that presents a significant challenge for shoulder reconstruction. Failure to stabilize the resulting "floating humerus" may result in significant esthetic and functional problems. Current techniques of reconstruction and stabilization may yield suboptimal results and significant morbidity. We report a case of Ewing's sarcoma of the scapula, which required total scapulectomy. Polypropylene mesh was used in an attempt to prevent migration of the head of the humerus. The result was a stable shoulder with satisfactory motion and no additional morbidity. We believe that polypropylene mesh offers an advantage in shoulder reconstruction after total scapulectomy and should be considered as an option for stabilization of the humerus.
Abouljoud
M S
MS
Department of Surgery, Henry Ford Hospital, Detroit, MI 48202.
Nathanson
S D
SD
D000328:Adult; D000971:Antineoplastic Combined Chemotherapy Protocols; D001859:Bone Neoplasms / Q000188:drug therapy / Q000601:surgery*; D003131:Combined Modality Therapy; D003520:Cyclophosphamide / Q000008:administration & dosage; D004317:Doxorubicin / Q000008:administration & dosage; D005500:Follow-Up Studies; D006801:Humans; D006811:Humerus; D008297:Male; D011095:Polyethylenes; D011126:Polypropylenes; D012512:Sarcoma, Ewing / Q000188:drug therapy / Q000601:surgery*; D012540:Scapula / Q000601:surgery*; D012983:Soft Tissue Neoplasms / Q000188:drug therapy / Q000601:surgery*; D013526:Surgical Mesh; D014750:Vincristine / Q000008:administration & dosage
C016674:Plastipore; D011095:Polyethylenes; D011126:Polypropylenes; D014750:Vincristine; D004317:Doxorubicin; D003520:Cyclophosphamide