Oncological and functional outcomes after resection of malignant tumours of the scapula.

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Abstract

[Indexed for MEDLINE] Conflict of interest statement: J. D. Barlow reports personal and institutional royalties and consulting payments from Stryker, unrelated to this study. M. Houdek reports consulting payments from Link Orthopedics, unrelated to this study, and a leadership or fiduciary role in the Musculoskeletal Tumor Society, the Connective Tissue Oncology Society, and the Sarcoma Alliance for Research through Collaboration. P. S. Rose reports a leadership or fiduciary role in the International Society of Limb Salvage, the Sacral Tumor Study Group, and the Journal of the American Academy of Orthopaedic Surgeons. J. Sanchez-Sotelo reports grants from Stryker, royalties from Stryker, Oxford University Press, and Elsevier, consulting payments from Stryker, Acumed, and Exactech, speaker payments from the Journal of Shoulder and Elbow Surgery, a leadership or fiduciary role in American Shoulder and Elbow Surgeons, and stock or stock options in Precision OS, Orthobullets, and PSI, all of which are unrelated to this study. E. Wagner reports consulting fees from Stryker, Zimmer Biomet, Acumed, and Osteoremedies, all of which are unrelated to this study. 14. Injury. 2021 Oct;52(10):2941-2946. doi: 10.1016/j.injury.2021.04.063. Epub 2021 May 1. Application and improvement of ipsilateral clavicle turnover during proximal humeral tumorous bone defect repair. Han J(1), Wang W(2), Yu X(3), Li X(4), Wang Z(2), Zhao R(2), Xu M(1), Zheng K(1). Author information: (1)Department of orthopaedics, PLA 960 hospital, China. (2)Department of orthopaedics, Linyi People's Hospital Affiliated to Shandong University, China. (3)Department of orthopaedics, PLA 960 hospital, China. Electronic address: 13969132190@163.com. (4)Department of orthopaedics, Linyi People's Hospital Affiliated to Shandong University, China. Electronic address: LYBONE@126.com. PURPOSE: To investigate the clinical effects and complications that may arise as a result of ipsilateral clavicle turnover during tumorous bone defect repair of the proximal humerus, and to explore the feasibility of performing combined free fibula transplantation and internal fixation in reducing complications METHODS: We treated 13 patients with clavicle turnover or free fibular transplantation from September 1998 to February 2020. There were 7 males and 6 females with the average age of 26.2 years (7-50 years). The histological diagnoses were osteosarcoma in 6 patients (Enneking IIB), giant cell tumors in 3 patients (Campanacci III) and one patient each with Ewing's sarcoma (Enneking IIB), chondrosarcoma (Canceration of multiple osteochondromatosis), fibrosarcoma and metastatic cancer of bone (Bone metastasis of lung cancer). Pathological fractures were found in 7 of the 13 patients. RESULTS: The operation was successfully performed for all 13 patients. We followed 12 patients for 18 to 274 months (average 92.7 months). For 6 patients treated with simple clavicle turnover using a short plate, the average healing time was 7 months (4-12 months). Among them, there were 3 cases of clavicle fracture and 3 cases of overturned bone healed well. For the 7 patients treated with clavicle turnover and free fibula using a long plate, the healing time was 6.7 months. However, one patient died of tumor metastasis 19 months after operation, without reversal of clavicle fracture and other complications. CONCLUSION: Clavicle turnover is a feasible method for the treatment of tumorous bone defect of the proximal humerus. Flipping clavicle fracture is the most common complication. The application of total clavicle fixation and free fibular transplantation strengthens the flipping clavicle and reduces the risk of clavicle fracture. Copyright © 2021 Elsevier Ltd. All rights reserved. DOI: 10.1016/j.injury.2021.04.063