Functional result possible after limb salvage surgery for shoulder girdle tumor
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.