Trout N J, Pavletic M M, Kraus K H
Department of Surgery, School of Veterinary Medicine, Tufts University, North Grafton, MA 01536, USA.
J Am Vet Med Assoc. 1995 Sep 1;207(5):585-7.
Three dogs and 2 cats were treated by partial scapulectomy for management of sarcomas of the proximal aspect of the scapula. Surgical margins were considered complete in all cases. In 3 animals, limb function was excellent for 8, 18, and 24 months, respectively, after surgery. Poor limb function persisted in 1 dog that developed local metastatic disease to the affected forelimb. One dog had good limb function for 3 months after surgery and underwent force-plate analysis, which determined a reduction in peak vertical force, decelerating force, and stride time for the affected limb, compared with that for the forelimb that was not subjected to surgery. Tumor recurrence associated with fibrosarcomas was detected in 2 animals. In selected cases, partial scapulectomy can preserve limb function and may be considered a viable alternative to limb amputation.
三只狗和两只猫因肩胛近端肉瘤接受了部分肩胛骨切除术治疗。所有病例的手术切缘均被认为是完整的。3只动物术后肢体功能分别在8个月、18个月和24个月时表现出色。1只狗出现了患侧前肢局部转移疾病,肢体功能持续较差。1只狗术后3个月肢体功能良好,并进行了测力板分析,结果显示与未接受手术的前肢相比,患侧肢体的垂直峰值力、减速力和步幅时间均有所降低。2只动物检测到与纤维肉瘤相关的肿瘤复发。在某些病例中,部分肩胛骨切除术可以保留肢体功能,可被视为肢体截肢的一种可行替代方案。