期刊论文详细信息
BMC Musculoskeletal Disorders
Outcome of bone defect reconstruction with clavicle bone cement prosthesis after tumor resection: a case series study
Mo Sha1  Yang Xu1  Yong He1  Bin Lin1 
[1] Department of Orthopedics, the 175th Hospital of PLA, Southeast Hospital of Xiamen University, Zhang Zhou, Fu Jian, China
关键词: Bone cement prosthesis;    Bone defect;    Claviculectomy;    Clavicle malignancy;   
Others  :  1125634
DOI  :  10.1186/1471-2474-15-183
 received in 2013-11-01, accepted in 2014-05-21,  发布年份 2014
PDF
【 摘 要 】

Background

To investigate the short and medium term outcomes of bone defect reconstruction with bone cement prosthesis after clavicle malignancies resection.

Methods

A total of 5 clavicular malignancy patients experienced bone cement prosthesis reconstruction after subtotal claviculectomy were enrolled the study from January 2005 to May 2012. Musculoskeletal Tumor Society score (MSTS), Visual Analogue scale (VAS) and American Shoulder and Elbow Surgeons shoulder outcome score (ASES) were adopted for assessment.

Results

The mean follow-up period was 25.8 months. All patients were performed bone cement defect reconstruction after claviculectomy. In which, 3 cases showed disease-free and other 2 cases were alive with sickness. The average Musculoskeletal Tumor Society score was 85.40% ± 5.68%(77%-90%), Visual Analogue Scale was 1.40 ± 0.55 (1–2) and American Shoulder and Elbow Surgeons Shoulder Outcome Score was 92.40 ± 3.29(87–96).

Conclusions

Adoption of clavicle bone cement prosthesis for bone defect reconstruction after tumor resection can maintain the contour of shoulder and reduce the complications ascribe to the claviculectomy. It is an effective and feasible therapeutic procedure in clinical setting.

【 授权许可】

   
2014 Lin et al.; licensee BioMed Central Ltd.

【 预 览 】
附件列表
Files Size Format View
20150217023208340.pdf 1791KB PDF download
Figure 4. 30KB Image download
Figure 3. 84KB Image download
Figure 2. 96KB Image download
Figure 1. 50KB Image download
【 图 表 】

Figure 1.

Figure 2.

Figure 3.

Figure 4.

【 参考文献 】
  • [1]Kapoor S, Tiwari A, Kapoor S: Primary tumours and tumorous lesions of clavicle. Int Orthop 2008, 32(6):829-834.
  • [2]Ren K, Wu S, Shi X, Zhao J, Liu X: Primary clavicle tumors and tumorous lesions: a review of 206 cases in East Asia. Arch Orthop Trauma Surg 2012, 132(6):883-889.
  • [3]Wessel RN, Schaap GR: Outcome of total claviculectomy in six cases. J Shoulder Elbow Surg 2007, 16(3):312-315.
  • [4]Suresh S, Saifuddin A: Unveiling the ‘unique bone’: a study of the distribution of focal clavicular lesions. Skeletal Radiol 2008, 37(8):749-756.
  • [5]Rossi B, Fabbriciani C, Chalidis BE, Visci F, Maccauro G: Primary malignant clavicular tumours: a clinicopathological analysis of six cases and evaluation of surgical management. Arch Orthop Trauma Surg 2011, 131(7):935-939.
  • [6]Gurd FB: The treatment of complete dislocation of the outer end of the clavicle: an hiterto undescribed operation. Ann Surg 1941, 113(6):1094-1098.
  • [7]Lewis MM, Ballet FL, Kroll PG, Bloom N: En bloc clavicular resection: operative procedure and postoperative testing of function. Case reports. Clin Orthop Relat Res 1985, 193:214-220.
  • [8]Rubright J, Kelleher P, Beardsley C, Paller D, Shackford S, Beynnon B, Shafritz A: Long-term clinical outcomes, motion, strength, and function after total claviculectomy. J Shoulder Elbow Surg 2014, 23(2):236-244.
  • [9]Turra S, Gigante C: Primary clavicular localisation of Ewing’s tumour treated by total cleidectomy. Case report and review of the literature. Ital J Orthop Traumatol 1988, 14(3):389-393.
  • [10]Yang Q, Li J, Yang Z, Li X, Li Z: Limb sparing surgery for bone tumours of the shoulder girdle: the oncological and functional results. Int Orthop 2010, 34(6):869-875.
  • [11]Lord JW Jr, Wright IS: Total claviculectomy for neurovascular compression in the thoracic outlet. Surg Gynecol Obstet 1993, 176(6):609-612.
  • [12]Lenoir H, Williams T, Kerfant N, Robert M, Le Nen D: Free vascularized fibular graft as a salvage procedure for large clavicular defect: a two cases report. Orthop Traumatol Surg Res 2013, 99(7):859-863.
  • [13]Guelinckx PJ, Sinsel NK: The “Eve” procedure: the transfer of vascularized seventh rib, fascia, cartilage, and serratus muscle to reconstruct difficult defects. Plast Reconstr Surg 1996, 97(3):527-535.
  • [14]Momberger NG, Smith J, Coleman DA: Vascularized fibular grafts for salvage reconstruction of clavicle nonunion. J Shoulder Elbow Surg 2000, 9(5):389-394.
  • [15]Kalbermatten DF, Haug M, Schaefer DJ, Wolfinger E, Schumacher R, Messmer P, Pierer G: Computer aided designed neo-clavicle out of osteotomized free fibula: case report. Comp Aided Designed Neo-clavicle Osteotomized Free Fibula: Case Report 2004, 57(7):668-672.
  • [16]Li J, Wang Z, Fu J, Shi L, Pei G, Guo Z: Surgical treatment of clavicular malignancies. J Shoulder Elbow Surg 2011, 20(2):295-300.
  • [17]Vartanian SM, Colaco S, Orloff LE, Theodore PR: Oklahoma prosthesis: resection of tumor of clavicle and chest wall reconstructed with a custom composite graft. Ann Thorac Surg 2006, 82(1):332-334.
  • [18]Enneking WF, Dunham W, Gebhardt MC, Malawar M, Pritchard DJ: A system for the functional evaluation of reconstructive procedures after surgical treatment of tumors of the musculoskeletal system. Clin Orthop Relat Res 1993, 286:241-246.
  • [19]Richards RR, An KN, Bigliani LU, Friedman RJ, Gartsman GM, Gristina AG, Iannotti JP, Mow VC, Sidles JA, Zuckerman JD: A standardized method for the assessment of shoulder function. J Shoulder Elbow Surg 1994, 3(6):347-352.
  • [20]Dahlin DC, Unni KK: Bone tumors: general aspects and data on 8542 cases. Thomas, Spring Weld IL; 1986.
  • [21]Klein MJ, Lusskin R, Becker MH, Antopol SC: Osteoid osteoma of the clavicle. Clin Orthop Relat Res 1979, 143:162-164.
  • [22]Krishnan SG, Schiffern SC, Pennington SD, Rimlawi M, Burkhead WZ Jr: Functional outcomes after total claviculectomy as a salvage procedure. A series of six cases. J Bone Joint Surg Am 2007, 89(6):1215-1219.
  • [23]Ledger M, Leeks N, Ackland T, Wang A: Short malunions of the clavicle: an anatomic and functional study. J Shoulder Elbow Surg 2005, 14(4):349-354.
  • [24]Green RM, Waldman D, Ouriel K, Riggs P, Deweese JA: Claviculectomy for subclavian venous repair: long-term functional results. J Vasc Surg 2000, 32(2):315-321.
  文献评价指标  
  下载次数:46次 浏览次数:5次