Kumar V P, Satku S K, Mitra A K, Pho R W
Department of Orthopedics, National University of Singapore.
Acta Orthop Scand. 1994 Feb;65(1):55-61. doi: 10.3109/17453679408993719.
10 patients with primary neoplasms of the shoulder girdle underwent limb salvage procedures involving resection of the proximal humerus and parts of the scapula and clavicle. The function of the ipsilateral limb was assessed in all patients, in 9 at least one and a half years after surgery. Function was good in 3 of the 6 patients in whom an interposition bone graft was used and a successful shoulder arthrodesis was achieved. In the remaining 3, proximal arthrodesis was unsuccessful and the result was fair in 2 and a failure in 1. All 3 patients in whom the extended Tikhoff Linberg type of reconstruction was undertaken had good function although unsatisfactory cosmetic results. The 10th patient, who had a temporary cement and wire interposition, died of distant metastases 8 months after surgery and was considered a failure.
10例肩带原发性肿瘤患者接受了保肢手术,包括切除近端肱骨以及部分肩胛骨和锁骨。对所有患者的同侧肢体功能进行了评估,其中9例在术后至少一年半进行了评估。在6例使用间置骨移植并成功实现肩关节融合的患者中,3例功能良好。其余3例近端融合未成功,2例结果尚可,1例失败。接受改良蒂科夫-林伯格(Tikhoff Linberg)重建术的3例患者功能均良好,尽管美容效果不尽人意。第10例患者采用了临时骨水泥和钢丝间置,术后8个月死于远处转移,被视为手术失败。