Jong Hoon Park1, Hae Woon Jung2, Woo Young Jang1. 1. Department of Orthopedic Surgery, Anam Hospital, Korea University College of Medicine. 2. Department of Pediatrics, Kyung Hee University Medical Center, Seoul, Republic of Korea.
Abstract
RATIONALE: Localized chondrosarcoma of the scapula has a favorable long-term survival outcome. Therefore, recovery of shoulder function after surgery is important in middle-aged patients. Currently, three-dimensional (3-D) printing implants can be applied for personalized limb salvage surgery. PATIENT CONCERNS: A 41-year-old woman with a palpable scapular area presented with shoulder pain for 3 months, which was aggravated during shoulder exercise. DIAGNOSES: Chondrosarcoma at left scapular (Malawer S1, Enniking II B, and grade II chondrosarcoma). INTERVENTIONS: Wide excision for a localized chondrosarcoma at the infrascapular lesion was performed and the resected muscles around the scapula were repaired with a 3-D printed segmental scapula prosthesis for recovery of shoulder function. OUTCOMES: The affected shoulder achieved satisfactory function after operation using the 3-D printed segmental scapula prosthesis at 1 year 6 months after the operation. LESSONS: The 3-D printed segmental scapula prosthesis is a useful method for shoulder functional recovery in patients with scapula chondrosarcoma.
RATIONALE: Localized chondrosarcoma of the scapula has a favorable long-term survival outcome. Therefore, recovery of shoulder function after surgery is important in middle-aged patients. Currently, three-dimensional (3-D) printing implants can be applied for personalized limb salvage surgery. PATIENT CONCERNS: A 41-year-old woman with a palpable scapular area presented with shoulder pain for 3 months, which was aggravated during shoulder exercise. DIAGNOSES: Chondrosarcoma at left scapular (Malawer S1, Enniking II B, and grade II chondrosarcoma). INTERVENTIONS: Wide excision for a localized chondrosarcoma at the infrascapular lesion was performed and the resected muscles around the scapula were repaired with a 3-D printed segmental scapula prosthesis for recovery of shoulder function. OUTCOMES: The affected shoulder achieved satisfactory function after operation using the 3-D printed segmental scapula prosthesis at 1 year 6 months after the operation. LESSONS: The 3-D printed segmental scapula prosthesis is a useful method for shoulder functional recovery in patients with scapula chondrosarcoma.
Authors: Juan González Del Pino; Santiago A Lozano Calderón; Ivan Chebib; Jesse B Jupiter Journal: J Hand Surg Am Date: 2016-01-21 Impact factor: 2.230