Endoprosthetics of a scapula in comparison with other types of reconstructive operations of this area
Abstract
Occurrence of scapular defeat by malignant tumors is rather low. Reconstruction of functional and cosmetic defect after total scapulectomy at the moment has no standards and still remains a discussed problem. Scapular endoprosthesis partially allows to decrease limitations of other reconstructive operations and to increase functional result of an extremity. however this method of reconstruction has rather narrow indications and high risks of complications that complicates its use at the majority of operations on a total scapulectomy. Achievement of good clinical, functional and oncological result depends on observance of indications to a total scapulectomy, observance of operation technics, careful selection of patients.
About the Author
A. V. Sokolovsky
FGBU N.N. Blokhin Russian Cancer Research Center
Russian Federation
Russian Federation
References
1. Трапезников Н.Н., Алиев М.Д., Синюков П.А., Соловьев Ю.Н., Мачак Г.Н., Соколовский В.А. Современные подходы в лечении злокачественных опухолей костей. Мат. юбил. конф. «Проблемы современной онкологии». Томск. 1999, с. 309-312.
2. Злокачественные опухоли костей. Под ред. М.Д. Алиева. Издательская группа РОНЦ. 2008, с. 177-225.
3. Wodajo F.M., Bickels J., Wittig J., Malawer M. Complex reconstruction in the management of extremity sarcomas. Curr. Opin. Oncol. 2003, v. 15, p. 304-312.
4. Syme J. Excision of the Scapula. Edinburgh: Edmonston &Douglas. 1864.
5. De Nancrede C.B.G. The end results after total excision of the scapula for sarcoma. Ann. Surg. 1909,v. 50, p. 1.
6. Kitagawa Y, D.M., Thai P.F.M. Choong. Reconstructions of the shoulder following tumour resection. Journal of Orthopaedic Surgery. 2007, v. 15 (2), p. 201-206.
7. Malawer M.M., Wittig J., Rubert C. Scapulectomy. In: Malawer M.M., Sugerbaker P.H., eds. Musculoskeletal Cancer Surgery: Treatment of Sarcoma and Allied Diseases. 1st ed. Dordrecht, the Netherlands: Kluwer Academic Publishing. 2001, p. 551-566.
8. Rodl R.W., Gosheger G., Gebert C., Lindner N., Ozaki T, Winkelmann W. Reconstruction of the proximal humerus after wide resection of tumours. J. Bone Joint Surg. Br. 2002, v. 84, p. 1004-1008.
9. Mnaymneh W.A., Temple H.T., Malinin T.I. Allograft reconstruction after resection of malignant tumors of the scapula. Clin. Orthop. Relat. Res. 2002, v. 397, p. 133-142.
10. De Wilde L.F., Plasschaert F.S., Audenaert E.A., Verdonk R.C. Functional recovery after a reverse prosthesis for reconstruction of the proximal humerus in tumor surgery. Clin. Orthop. Relat. Res. 2005, v. 430, p. 156-162.
11. Pritsch T, Bickels J., Wu C.C., Squires M.H., Malawer M.M. Is A Scapular endoprosthesis Functionally Superior to Humeral Suspension? Clin. Orthop. Relat. Res. 2006.
12. Iannotti J.P., Williams G.R. Disorders of the Shoulder, Volume 2: Diagnosis & Management. Wolters Kluwer Health. 2007, p. 1186-1195.
13. Kitagawa Y, Thai D.M., Choong P.F.M. Reconstructions of the shoulder following tumour resection. Journal of Orthopaedic Surgery. 2007, v. 15 (2), p. 201-206.
14. Bergmann J., Leeuw M., Willems W, Janssen T, DirkJan H., Veeger J. Contribution of the Reverse Endoprosthesis to Glenohumeral Kinematics. Clin. Orthop. Relat. Res. 2008, v. 466, p. 594-598.
15. Malawer M., Wittig J., Bickels J. Operative Techniques in Orthopaedic Surgical Oncology. Wblters Kluwer Health. 2012, p. 72-89.
16. Asavamongkolkul A., Eckardt J.J., Eliber F.R., Dorey F.J, Ward W.G., Kelly C.M., Wirganowicz P.Z., Kabo J.M. En- doprosthetic reconstruction for malignant upper-extremity tumors. Clin. Orthop. Relat. Res. 1999, v. 360, p. 207-220.
17. Wittig J.C., Bickels J., Wodajo F., Kellar-Graney K.L., Malawer M.M. Constrained total scapula reconstruction after resection of a high-grade sarcoma. Clin. Orthop. Relat. Res. 2002, v. 397, p. 143-155.
18. Papaioannou A.N., Francis K.C. Scapulectomy for the treatment of primary malignant tumors of the scapula. Clin. Orthop. Relat. Res. 1965, v. 41, p. 125-132.
19. Nakamura S., Kusuzaki K., Murata H., Takeshita H., Hi- rata M., Hashiguchi S., Hirasawa Y. Clinical outcome of total scapulectomy in 10 patients with primary malignant bone and soft-tissue tumors. J. Surg. Oncol. 1999, v. 72, p. 130-135.
Review
For citations:
Sokolovsky A.V. Endoprosthetics of a scapula in comparison with other types of reconstructive operations of this area. Bone and soft tissue sarcomas, tumors of the skin. 2013;(3):26-30. (In Russ.)
Views:
272
Email this article 
