title: Reconstruction with constrained prosthesis after total scapulectomy.
abstract: OBJECTIVE
  Scapular prosthetic replacement after total scapulectomy can result in oncologic salvage and good postoperative function with a low rate of complications.
  
  
  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° to 45° and 40° to 65°, respectively. All patients retained normal hand and elbow functions.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Musculoskeletal Tumor Center, People's Hospital, Peking University, Beijing, China.
authors.forename: Xiaodong
authors.initials: X
authors.lastname: Tang
authors.forename: Wei
authors.initials: W
authors.lastname: Guo
authors.forename: Rongli
authors.initials: R
authors.lastname: Yang
authors.forename: Tao
authors.initials: T
authors.lastname: Ji
authors.forename: Xin
authors.initials: X
authors.lastname: Sun
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001859:Bone Neoplasms / Q000601:surgery*; D002858:Chromium Alloys; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D019736:Prostheses and Implants; D011474:Prosthesis Design; D016059:Range of Motion, Articular; D012189:Retrospective Studies; D012509:Sarcoma / Q000601:surgery; D012540:Scapula / Q000601:surgery*; D012785:Shoulder Joint / Q000601:surgery; D055815:Young Adult
chemical_list: D002858:Chromium Alloys