Interscapulothoracic resection of tumours of shoulder with a note on reconstruction.
We retrospectively reviewed the outcomes of 33 consecutive patients who had undergone an extra-articular, total or partial scapulectomy for a malignant tumour of the shoulder girdle between 1 July 2001 and 30 September 2013. Of these, 26 had tumours which originated in the scapula or the adjacent soft tissue and underwent a classic Tikhoff-Linberg procedure, while seven with tumours arising from the proximal humerus were treated with a modified Tikhoff-Linberg operation. We used a Ligament Advanced Reinforcement System for soft-tissue reconstruction in nine patients, but not in the other 24. The mean Musculoskeletal Tumor Society score (MSTS) was 17.6 (95% confidence interval (CI) 15.9 to 19.4); 17.6 (95% CI 15.5 to 19.6) after the classic Tikhoff-Linberg procedure and 18.1 (95% CI 13.8 to 22.3) after the modified Tikhoff-Linberg procedure. Patients who had undergone a LARS soft-tissue reconstruction had a mean score of 18.6 (95% (CI) 13.9 to 22.4) compared with 17.2 (95% CI 15.5 to 19.0) for those who did not. The Tikhoff-Linberg procedure is a useful method for wide resection of a malignant tumour of the shoulder girdle which helps to preserve hand and elbow function. The method of soft-tissue reconstruction has no effect on functional outcome.
Peking University People's Hospital, Musculoskeletal Tumor Centre, Beijing, 100044, China.
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L
Xie
Tang
T
X D
R L
RL
Yang
W
W
Guo
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D019643:Arthroplasty, Replacement / Q000379:methods; D001859:Bone Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D002813:Chondrosarcoma / Q000000981:diagnostic imaging / Q000601:surgery; D005260:Female; D006801:Humans; D007595:Joint Prosthesis; D008297:Male; D008875:Middle Aged; D011859:Radiography; D020127:Recovery of Function; D012189:Retrospective Studies; D012509:Sarcoma / Q000000981:diagnostic imaging / Q000601:surgery*; D012540:Scapula / Q000601:surgery; D012782:Shoulder; D012785:Shoulder Joint / Q000503:physiopathology; D012983:Soft Tissue Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D016019:Survival Analysis; D016896:Treatment Outcome
Shoulder girdle; Malignant tumor; Limb salvage; Tikhoff-Linberg; Function