We retrospectively reviewed the outcomes of 33 consecutive patients who had undergone an extra-articular, total or partial scapulectomy for a malignant tumour of the shoulder girdle between 1 July 2001 and 30 September 2013. Of these, 26 had tumours which originated in the scapula or the adjacent soft tissue and underwent a classic Tikhoff–Linberg procedure, while seven with tumours arising from the proximal humerus were treated with a modified Tikhoff-Linberg operation. We used a Ligament Advanced Reinforcement System for soft-tissue reconstruction in nine patients, but not in the other 24.
The mean Musculoskeletal Tumor Society score (MSTS) was 17.6 (95% confidence interval (CI) 15.9 to 19.4); 17.6 (95% CI 15.5 to 19.6) after the classic Tikhoff–Linberg procedure and 18.1 (95% CI 13.8 to 22.3) after the modified Tikhoff–Linberg procedure. Patients who had undergone a LARS soft-tissue reconstruction had a mean score of 18.6 (95% (CI) 13.9 to 22.4) compared with 17.2 (95% CI 15.5 to 19.0) for those who did not.
The Tikhoff–Linberg procedure is a useful method for wide resection of a malignant tumour of the shoulder girdle which helps to preserve hand and elbow function. The method of soft-tissue reconstruction has no effect on functional outcome.
Cite this article: Bone Joint J 2014;96-B:684–90.
The authors thank the Musculoskeletal Tumor Center of Peking University People’s Hospital for the patients’ clinical data, Professor Z. Chunfang for excellent technical assistance, and Professor S. Danhua, Dr. S. Kunkun and Dr. Z. Yinli for the pathological review and evaluation, respectively. This work was supported by Beijing Municipal Science and Technology Commission Foundation (Z11110705881102). This study complies with all current relevant laws in China, where this report was produced.
Although none of the authors has received or will receive benefits for personal or professional use from a commercial party related directly or indirectly to the subject of this article, benefits have been or will be received but will be directed solely to a research fund, foundation, educational institution, or other non-profit organisation with which one or more of the authors are associated.
This article was primary edited by A. Ross and first proof edited by D. Rowley.
- Received April 18, 2013.
- Accepted January 1, 2014.
- ©2014 The British Editorial Society of Bone & Joint Surgery