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Smolle, MA; Niethard, M; Schrader, C; Bergovec, M; Tunn, PU; Friesenbichler, J; Scheipl, S; Leithner, A.
Clinical and functional outcome after partial or total claviculectomy without reconstruction for oncologic causes.
J Shoulder Elbow Surg. 2023; 32(9):1967-1971
Doi: 10.1016/j.jse.2023.03.010
Web of Science
PubMed
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- Führende Autor*innen der Med Uni Graz
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Leithner Andreas
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Smolle Maria Anna
- Co-Autor*innen der Med Uni Graz
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Bergovec Marko
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Friesenbichler Jörg
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Scheipl Susanne
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- Abstract:
- BACKGROUND: To achieve clear margins in rare malignant clavicular neoplasms, claviculectomy may become necessary. This study aimed to review clinical, functional, and oncologic outcomes following partial or total claviculectomy without reconstruction. METHODS: This study retrospectively included 15 patients from 2 tertiary sarcoma centers (mean age, 42.6 ± 20.3 years; 66.7% male patients). The median length of clinical and oncologic follow-up was 48.0 months (interquartile range [IQR], 24.0-83.5 months). Functional follow-up (Musculoskeletal Tumor Society score and QuickDASH score [short version of the Disabilities of the Arm, Shoulder and Hand questionnaire]) was available in 9 patients at a median of 36.0 months (IQR, 20.0-100.0 months). RESULTS: Of the 15 patients, 7 underwent total claviculectomy; 5, partial lateral claviculectomy; and 3, partial medial claviculectomy. No postoperative complications emerged. The median Musculoskeletal Tumor Society and QuickDASH scores at latest follow-up amounted to 26.0 points (IQR, 24.0-29.0 points) and 18.0 points (IQR, 11.0-22.0 points), respectively. Notably, scores tended to be lower in patients who underwent total claviculectomy (n = 2) in comparison to partial claviculectomy (n = 7). CONCLUSION: Satisfactory clinical and functional results can be achieved following partial or total claviculectomy without reconstruction, with a low complication rate and acceptable mid- to long-term function.
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Humans - administration & dosage
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Male - administration & dosage
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Young Adult - administration & dosage
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Adult - administration & dosage
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Middle Aged - administration & dosage
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Female - administration & dosage
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Retrospective Studies - administration & dosage
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Treatment Outcome - administration & dosage
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Clavicle - pathology
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Shoulder - pathology
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Scapula - pathology
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Bone Neoplasms - pathology
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Syndrome - administration & dosage
- Find related publications in this database (Keywords)
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Claviculectomy
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functional outcome
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MSTS score
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QuickDASH
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orthopedic oncology
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sarcoma