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Anterior Capsular Reconstruction with Human Dermal Allograft for Irreparable Subscapularis Tears
Published on: May 9, 2025
Reconstruction with constrained prosthesis after total scapulectomy.
Xiaodong Tang1, Wei Guo, Rongli Yang
1Musculoskeletal Tumor Center, People's Hospital, Peking University, Beijing, China.
Journal of Shoulder and Elbow Surgery
|April 29, 2011
Summary
Scapular prosthetic replacement after total scapulectomy offers oncologic salvage and good function. This study found low complication rates, though active shoulder motion was limited.
Area of Science:
- Orthopedic surgery
- Oncology
- Reconstructive surgery
Background:
- Total scapulectomy is a radical procedure for scapular tumors.
- Reconstruction aims to restore function and achieve oncologic control.
Purpose of the Study:
- To evaluate the outcomes of scapular prosthetic replacement after total scapulectomy.
- To assess oncologic control, functional results, and complication rates.
Main Methods:
- Retrospective review of 10 patients undergoing scapular prosthetic replacement post-total scapulectomy (2003-2009).
- Assessment of oncologic outcomes, functional scores (Musculoskeletal Tumor Society 93), range of motion, and complications.
Main Results:
- Mean follow-up of 36 months.
- Two patients died from disease; one had recurrence and metastasis.
- Complications (dislocation, infection) occurred in 2 patients.
- Mean MSTS 93 score was 23.2/30; limited active shoulder abduction (20°-45°) and forward flexion (40°-65°).
- Hand and elbow function were preserved in all patients.
Conclusions:
- Scapular prosthetic reconstruction provides oncologic salvage after total scapulectomy.
- Good postoperative function and low complication rates were observed.
- Limitations in active shoulder motion exist but are balanced by oncologic success and preserved limb function.