The functional and oncological results after scapulectomy for scapular tumours: 2-16-year results.
Twenty-five patients underwent scapulectomy for various tumours between 1989 and 2005. We describe 23 patients with scapular tumours who were followed-up for a minimum of 2 years after scapulectomy. The average age was 29 years, and two-thirds of the patients were male. Nineteen patients had malignant neoplasms, of which chondrosarcoma was most common, followed by Ewing's sarcoma. Surgical staging was by Enneking's system, with stage IIB being the most frequent. Fifteen patients underwent total scapulectomy, and the rest had their glenoid retained. With an average follow-up period of 66.7 months (23-202 months), functional and oncological outcomes were evaluated for all patients. Two patients had superficial wound infections requiring antibiotics, and one had skin necrosis requiring skin cover. Functional outcome was satisfactory in 13 patients. Cosmetically and emotionally acceptable surgery, scapulectomy made 19 patients continuously disease free, while four patients died of disease. The 5-year survival rate of 19 patients with malignant tumours was 75.9%. Retention of the glenohumeral articulation (subtotal) resection gives superior functional results.
Mayil Vahanan
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Department of Orthopaedics & Trauma, Madras Medical College & Research Institute, Govt. General Hospital, Chennai, India. drmayilnatarajan@gmail.com
Mohanlal
P
P
Bose
J C
JC
Gangadharan
R
R
Karthisundar
V
V
D000293:Adolescent; D000328:Adult; D000368:Aged; D001859:Bone Neoplasms / Q000601:surgery*; D002648:Child; D002675:Child, Preschool; D002813:Chondrosarcoma / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D023821:Limb Salvage / Q000379:methods*; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D019637:Orthopedic Procedures / Q000379:methods; D016059:Range of Motion, Articular / Q000502:physiology; D012512:Sarcoma, Ewing / Q000601:surgery*; D012540:Scapula / Q000601:surgery*; D012785:Shoulder Joint / Q000502:physiology / Q000601:surgery; D015996:Survival Rate; D016896:Treatment Outcome; D034941:Upper Extremity / Q000502:physiology