Functional result possible after limb salvage surgery for shoulder girdle tumor
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According to study results, limb salvage surgery was associated with an “acceptable means of oncological outcome and function” after resection of a shoulder girdle tumor.
“The purpose of the study was to show that patients who undergo these limb salvage procedures should expect to have a functional extremity to perform their activities of daily living, regardless of the reconstruction performed, with a low rate of needing of a revision of their reconstruction,” Matthew T. Houdek, MD, an orthopedic surgeon and assistant professor of orthopedics at Mayo Clinic, told Healio.com/Orthopedics.
Researchers reviewed 53 patients who underwent limb salvage surgery for treatment of a shoulder girdle tumor. The mean follow-up was 28 years after resection. Investigators contacted 76% of surviving patients. The Musculoskeletal Tumor Society and Toronto Extremity Salvage outcome scores were documented.
Results showed the 20-year survival was 79% and the recurrence-free survival was 80%. Investigators noted the 20-year revision survival was 75%. The limb salvage rate was 94%. The mean Musculoskeletal Tumor Society rating was 75%, and the mean Toronto Extremity Salvage score was 85% at the last follow-up.
There were nine patients who saw improvements in their Musculoskeletal Tumor Society Scores compared with their previous scores. At a mean of 5 years postoperatively, 12 patients needed revision of their reconstruction. – by Monica Jaramillo
Disclosures: Houdek reports no relevant financial disclosures. Scorianz reports that he was supported by a scholarship of the Italian Society of Orthopaedics and Traumatology.
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