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Clinical and functional outcome after partial or total claviculectomy without reconstruction for oncologic causes
Maria Anna Smolle1, Maya Niethard2, Christian Schrader1
1Department of Orthopaedics and Trauma, Medical University of Graz, Graz, Austria.
Journal of Shoulder and Elbow Surgery
|April 12, 2023
Summary
Claviculectomy for rare bone tumors offers good clinical and functional outcomes without reconstruction. This surgery, whether partial or total, shows a low complication rate and acceptable long-term function.
Area of Science:
- Orthopedic Oncology
- Surgical Oncology
- Bone Sarcomas
Background:
- Claviculectomy may be necessary for rare malignant clavicular neoplasms to achieve clear margins.
- This study evaluates outcomes of claviculectomy without reconstruction.
Purpose of the Study:
- To review clinical, functional, and oncologic outcomes after partial or total claviculectomy without reconstruction.
- To assess the feasibility and efficacy of claviculectomy in managing clavicular tumors.
Main Methods:
- Retrospective study of 15 patients from two tertiary sarcoma centers.
- Median follow-up of 48.0 months for clinical/oncologic outcomes and 36.0 months for functional outcomes.
- Functional assessment using Musculoskeletal Tumor Society and QuickDASH scores.
Main Results:
- 7 total claviculectomies, 5 partial lateral, and 3 partial medial claviculectomies were performed.
- No postoperative complications were reported.
- Median Musculoskeletal Tumor Society score was 26.0 and QuickDASH score was 18.0; scores were lower after total claviculectomy.
Conclusions:
- Partial or total claviculectomy without reconstruction yields satisfactory clinical and functional results.
- The procedure is associated with a low complication rate.
- Acceptable mid- to long-term function can be expected after claviculectomy.
