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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
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Führende Autor*innen der Med Uni Graz
Leithner Andreas
Smolle Maria Anna
Co-Autor*innen der Med Uni Graz
Bergovec Marko
Friesenbichler Jörg
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.
Find related publications in this database (using NLM MeSH Indexing)
Humans - administration & dosage
Male - administration & dosage
Young Adult - administration & dosage
Adult - administration & dosage
Middle Aged - administration & dosage
Female - administration & dosage
Retrospective Studies - administration & dosage
Treatment Outcome - administration & dosage
Clavicle - pathology
Shoulder - pathology
Scapula - pathology
Bone Neoplasms - pathology
Syndrome - administration & dosage

Find related publications in this database (Keywords)
Claviculectomy
functional outcome
MSTS score
QuickDASH
orthopedic oncology
sarcoma
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