Li Xiumao, Zhang Yu, Yan Xiaobo, Lin Nong
Department of Orthopedics, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
Orthopedics Research Institute of Zhejiang University, Hangzhou City, Zhejiang, China.
JBJS Case Connect. 2025 Jan 9;15(1). doi: 10.2106/JBJS.CC.24.00397. eCollection 2025 Jan 1.
The effective reconstruction and functional restoration of the shoulder joint after surgical treatment of shoulder girdle tumors, especially those involving resection of the glenoid, poses significant challenges. Reconstruction methods include allograft reconstruction and shoulder prosthesis. In this report, we present 2 cases of scapulectomy for tumors involving the glenoid, followed by shoulder reconstruction using custom-designed reverse shoulder prostheses that are partially fixed to the clavicle. Functional outcomes were satisfactory at 25 and 19 months, respectively.
This novel prosthesis design, which is partially fixed to the clavicle, provides stability and promising functional outcomes in scapular reconstruction with short-term follow-up.
肩胛带肿瘤手术治疗后肩关节的有效重建和功能恢复面临重大挑战,尤其是那些涉及肩胛盂切除的病例。重建方法包括同种异体移植重建和肩关节假体。在本报告中,我们介绍了2例因肿瘤累及肩胛盂而行肩胛骨切除术的病例,随后使用定制设计的部分固定于锁骨的反向肩关节假体进行肩关节重建。分别在术后25个月和19个月时功能结果令人满意。
这种部分固定于锁骨的新型假体设计在肩胛骨重建的短期随访中提供了稳定性和良好的功能结果。