Oncology Medical News about Ewing's Sarcoma, Total scapulectomy, Constrained reverse humeral prosthesis

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Total scapulectomy and constrained reverse total shoulder reconstruction for a Ewing's Sarcoma
Journal of Surgical Oncology, 07/13/09

Mavrogenis AF et al. – Study reports that compared to those patients left without a scapula reconstruction, prosthetic replacement of the scapula and shoulder partially restores abduction and external rotation and improves cosmesis.

Methods

Study presents the modified Tikhoff-Linberg total scapulectomy and constrained reverse total shoulder reconstruction for a Ewing's sarcoma of the scapula
A combined approach was used:
- The deltoid, trapezius, rhomboids, levator scapulae, latissimus dorsi, and serratus anterior were preserved
- Tumor was removed en bloc by disarticulation of the acromioclavicular and the glenohumeral joints
- Scapular prosthesis was suspended by the muscles
- A constrained reverse humeral prosthesis was implanted after osteotomy of the humeral head

Results