Allograft reconstruction after resection of malignant tumors of the scapula

Walid A. Mnaymneh, H. Thomas Temple, Theodore Malinin

Research output: Contribution to journalArticle

26 Citations (Scopus)

Abstract

The oncologic and functional outcomes of six patients who had scapular allograft reconstruction after scapulectomy for malignant tumors were reviewed. Five patients had Stage IIB and one patient had Stage IB tumors. Total scapulectomy was done in five patients, and partial scapulectomy (glenoid and neck) was done in one patient. Frozen glycerolized scapular allografts were implanted and fixed with plates and screws. The scapular muscles were reattached to the allograft. Tendon reconstruction to replace the excised muscles was done in two patients. The patients were followed up for an average of 3.8 years (range, 2-6 years). Cosmesis, elbow, and hand function were good in all patients. There were no infections, nonunions, or shoulder dislocations. One patient fractured the body of the allograft after a fall. One patient had local recurrence and had scapulectomy 5 years postoperatively. Two patients died 3 and 5 years postoperatively with lung metastases but with functioning grafts. The mean functional result using the Musculoskeletal Tumor Society functional score was 82 (range, 77-87). In this series, scapular allograft reconstruction restored cosmesis, shoulder stability, and function. Preservation or reconstruction of rotator cuff muscles is recommended.

Original languageEnglish
Pages (from-to)223-229
Number of pages7
JournalClinical Orthopaedics and Related Research
Issue number405
StatePublished - Dec 1 2002

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Scapula
Allografts
Neoplasms
Muscles
Shoulder Dislocation
Rotator Cuff
Elbow
Tendons
Neck
Hand

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Mnaymneh, W. A., Thomas Temple, H., & Malinin, T. (2002). Allograft reconstruction after resection of malignant tumors of the scapula. Clinical Orthopaedics and Related Research, (405), 223-229.

Allograft reconstruction after resection of malignant tumors of the scapula. / Mnaymneh, Walid A.; Thomas Temple, H.; Malinin, Theodore.

In: Clinical Orthopaedics and Related Research, No. 405, 01.12.2002, p. 223-229.

Research output: Contribution to journalArticle

Mnaymneh, Walid A. ; Thomas Temple, H. ; Malinin, Theodore. / Allograft reconstruction after resection of malignant tumors of the scapula. In: Clinical Orthopaedics and Related Research. 2002 ; No. 405. pp. 223-229.
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