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Functional and oncological outcomes after total claviculectomy for primary malignancy
Zhaoxu Li1, Zhaoming Ye, Miaofeng Zhang
1Department of Orthopaedics, Second Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou 310009, China.
Acta Orthopaedica Belgica
|June 16, 2012
Summary
Total claviculectomy is a viable option for primary clavicular malignancy, offering good functional and oncologic outcomes. This study found patients experienced significant pain reduction and improved shoulder function post-surgery.
Area of Science:
- Orthopedic oncology
- Surgical oncology
- Musculoskeletal oncology
Background:
- Primary malignancies of the clavicle are exceptionally rare.
- Limited data exists on the functional and oncologic outcomes following total claviculectomy.
Purpose of the Study:
- To evaluate the functional and oncologic outcomes of patients who underwent total claviculectomy for primary clavicular malignancy.
- To assess the efficacy of total claviculectomy as a salvage procedure.
Main Methods:
- Retrospective review of 9 patients diagnosed with primary clavicular malignancy between 2000 and 2010.
- All patients were treated with total claviculectomy.
- Functional outcomes were assessed using the Constant-Murley score and Visual Analog Scale (VAS) for pain.
Main Results:
- All 9 patients survived with no local recurrence or distant metastases after a mean follow-up of 46 months.
- Patients reported significant improvement in shoulder range of motion and a reduction in pain.
- The mean Constant-Murley score improved from 26 to 79 (p < 0.001).
- The mean VAS pain score decreased from 8.7 to 2.4 (p < 0.001).
Conclusions:
- Total claviculectomy can be an effective salvage procedure for primary clavicular malignancies.
- The procedure yields favorable oncologic control and significant functional recovery with minimal deficits.
