{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,11]],"date-time":"2025-12-11T20:50:15Z","timestamp":1765486215885,"version":"3.37.3"},"reference-count":27,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2018,6,7]],"date-time":"2018-06-07T00:00:00Z","timestamp":1528329600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Surgical Oncology"],"published-print":{"date-parts":[[2018,7]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Surgical reconstruction after total scapulectomy presents a great challenge. Currently, the constrained scapular prosthesis reconstruction is considered as the most effective and promising method. However, the mid\u2010 to long\u2010term functional outcomes and complications of this procedure are unclear.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We retrospectively analyzed eight patients with scapular malignant tumors treated by total scapulectomy and constrained scapular prosthesis reconstruction between 2011 and 2013. The results of functional improvement were evaluated using MSTS\u201093 score at the final follow\u2010up. We also analyzed tumor recurrence, metastases, and complications associated with the reconstruction procedure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Three patients died of pulmonary metastasis, and five patients were alive at the final follow\u2010up. For the five surviving patients, the mean follow\u2010up period was 61.8 months (range, 51\u201072 months). Each patient recovered satisfactory contour of the shoulder. The mean MSTS\u201093 functional score of the upper extremity was 23.5 (range, 20\u201027). Rib fractures developed two patients, while prosthesis exposure occurred in one patient. No infection, skin flap necrosis, dislocation, and aseptic loosening developed in this small series. Pulmonary metastasis was observed in two patients (2\/5).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Although a few of prosthesis\u2010related complications not reported in previous studies are observed during the mid\u2010 to long\u2010term follow\u2010up, reconstruction with a constrained scapular prosthesis can provide a stable shoulder joint, and obtained a satisfactory shoulder contour and an acceptable mid\u2010to long\u2010term functional outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of evidence<\/jats:title><jats:p>: Level IV, therapeutic study.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jso.25118","type":"journal-article","created":{"date-parts":[[2018,6,7]],"date-time":"2018-06-07T14:24:53Z","timestamp":1528381493000},"page":"177-183","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Reconstruction with constrained scapular prosthesis after total scapulectomy for scapular malignant tumor"],"prefix":"10.1002","volume":"118","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5231-3031","authenticated-orcid":false,"given":"Baichuan","family":"Wang","sequence":"first","affiliation":[{"name":"Department of Orthopedics Union Hospital Tongji Medical College Huazhong University of Science and Technology Wuhan China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qiang","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Orthopedics Union Hospital Tongji Medical College Huazhong University of Science and Technology Wuhan China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhicai","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jianxiang","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Orthopedics Union Hospital Tongji Medical College Huazhong University of Science and Technology Wuhan China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1616-8118","authenticated-orcid":false,"given":"Zengwu","family":"Shao","sequence":"additional","affiliation":[{"name":"Department of Orthopedics Union Hospital Tongji Medical College Huazhong University of Science and Technology Wuhan China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,6,7]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-006-0261-1"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-009-0857-3"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/jso.21340"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-200204000-00020"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/jso.1079"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10147-011-0229-z"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2010.12.014"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.blo.0000229323.37793.6d"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.blo.0000238840.26423.b6"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.mjafi.2014.11.012"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/1756-9966-28-45"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/os.12248"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-200212000-00029"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2008.07.014"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbo.2012.12.002"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2015.02.006"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-014-2417-8"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.2214\/AJR.07.3286"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-198011000-00013"},{"key":"e_1_2_8_21_1","first-page":"33","article-title":"A new surgical classification system for shoulder\u2010girdle resections","volume":"267","author":"Malawer MM","year":"1991","journal-title":"Analysis of 38 patients. 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