Function correlates with deltoid preservation in patients having scapular replacement. Academic Article uri icon

Overview

abstract

  • Advocates of scapular replacement suggest sparing the deltoid should be a prerequisite for use of a scapular prosthesis. We evaluated the importance of a functioning deltoid in scapular replacement for malignant tumors. We retrospectively reviewed 19 patients who received scapular prostheses after resection of a malignant tumor. The median followup was 18 months (range, 12-124 months). The axillary nerve was resected in eight patients and spared in 11 patients. The average International Society of Limb Salvage score was 25 of 30 points (range, 21-27 points). The average scores for patients with and without axillary nerve resection were 24 points (range, 21-25 points) and 26 points (range, 23-27 points), respectively. There was a difference between the two groups in hand positioning, overall function, and pain. However, there were no differences in emotional acceptance, lifting ability, or hand dexterity. We favor using a scapular prosthesis if there is a functioning deltoid; however resection of the deltoid should not be considered an absolute contraindication for scapular replacement.

publication date

  • November 1, 2006

Research

keywords

  • Arthroplasty, Replacement
  • Bone Neoplasms
  • Prostheses and Implants
  • Scapula

Identity

Scopus Document Identifier

  • 33750615675

Digital Object Identifier (DOI)

  • 10.1097/01.blo.0000229323.37793.6d

PubMed ID

  • 16906074

Additional Document Info

volume

  • 452