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Extra-articular shoulder resections : outcomes of 54 patients

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dc.contributor.authorAngelini, Andrea
dc.contributor.authorMavrogenis, Andreas F.
dc.contributor.authorTrovarelli, Giulia
dc.contributor.authorPala, Elisa
dc.contributor.authorArbeláez Echeverri, Pablo
dc.contributor.authorCasanova, Josè
dc.contributor.authorBerizzi, Antonio
dc.contributor.authorRuggieri, Pietro
dc.contributor.corporatenamePontificia Universidad Javeriana. Facultad de Medicina. Departamento de Ortopedia y Traumatologíaspa
dc.contributor.javerianateacherArbeláez Echeverri, Pablo
dc.coverage.temporal1985-2012
dc.date.accessioned2023-01-11T20:23:37Z
dc.date.available2023-01-11T20:23:37Z
dc.date.created2017-07-06
dc.description.abstractenglishBackground: The survival of patients with tumors around the shoulder treated with extra-articular resection, the rates of reconstructions-related complications, and the function of the shoulder cannot be estimated because of limited available data from mainly small published related series and case reports. Methods: We studied 54 patients with tumors around the shoulder treated with extra-articular shoulder resections and proximal humeral megaprosthetic reconstructions from 1985 to 2012. Mean tumor volume was 549 cm3, and the mean length of the proximal humeral resection was 110 mm. Mean follow-up was 7.8 years (range, 3-21 years). We evaluated the outcomes (survival, metastases, recurrences, and function) and the survival and complications of the reconstruction. Results: Survival of patients with malignant tumors was 47%, 38%, and 35%, at 5, 10, and 20 years, respectively. Rates for metastasis and local recurrence were 60% and 18.5%, respectively. Survival was significantly higher for patients without metastases at diagnosis, tumor volume <549 cm3 , and type IV re sections. Survival of reconstructions was 56% at 10 years and 48% 20 years. Overall, 19 patients (35.2%) experienced 30 complications (55.5%), the most common being soft tissue failures that required subse quent surgery without, however, implant removal. The mean Musculoskeletal Tumour Society score was 25 points, without any significant difference between the types of extra-articular resections. Conclusion: Tumor stage and volume as well as type of resection are important predictors of survival of patients with malignant tumors around the shoulder. Survival of the reconstructions is satisfactory; nevertheless, the complication rate is high. The Musculoskeletal Tumour Society score is similar with respect to the type of resection. Level of evidence: Level IV; Case Series; Treatment Studyspa
dc.description.comunidadPacientes con tumores alrededor del hombrospa
dc.description.esciNospa
dc.description.indexingRevista Internacional - Indexadaspa
dc.description.orcidhttps://orcid.org/0000-0003-2186-0328spa
dc.description.publindexA1spa
dc.description.quartilescopusQ1spa
dc.description.quartilewosQ1spa
dc.formatPDFspa
dc.format.mimetypeapplication/pdfspa
dc.identifierhttps://www.sciencedirect.com/science/article/pii/S1058274617302574?via%3Dihubspa
dc.identifier.doihttps://doi.org/10.1016/j.jse.2017.04.019spa
dc.identifier.instnameinstname:Pontificia Universidad Javerianaspa
dc.identifier.issn1058-2746 / 1532-6500 (Electrónico)spa
dc.identifier.reponamereponame:Repositorio Institucional - Pontificia Universidad Javerianaspa
dc.identifier.repourlrepourl:https://repository.javeriana.edu.cospa
dc.identifier.urihttp://hdl.handle.net/10554/62798
dc.language.isoengspa
dc.relation.citationendpage345spa
dc.relation.citationissue11spa
dc.relation.citationstartpage337spa
dc.relation.citationvolume26spa
dc.relation.ispartofjournalJournal of Shoulder and Elbow Surgeryspa
dc.rights.coarhttp://purl.org/coar/access_right/c_abf2spa
dc.rights.licenceAtribución-NoComercial 4.0 Internacional*
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/*
dc.subject.keywordSarcomaspa
dc.subject.keywordShoulderspa
dc.subject.keywordResectionspa
dc.subject.keywordTikhoff-Linbergspa
dc.subject.keywordExtra-articularspa
dc.subject.keywordOutcomespa
dc.titleExtra-articular shoulder resections : outcomes of 54 patientsspa
dc.type.coarhttp://purl.org/coar/resource_type/c_6501spa
dc.type.hasversionhttp://purl.org/coar/version/c_ab4af688f83e57aa
dc.type.localArtículo de revistaspa

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