1、Reconstructions of the shoulder following tumor resection,Ways of reconstructions,Bone cement Iliac boneOsteoarticular allograft arthrodesisClavicula pro humeral reconstructionArthrodesis Free vascularised fibula graftProsthetic arthroplasty,Classification,Hemiarthroplasty (humeral head replacements
2、)Total shoulder arthroplasty (TSA glenohumeral replacements),Hemiarthroplasty,TSA,Unconstrained,Hemi-constrained,Constrained,Ball-cotyla,Inverted type,Categories of bone neoplasm,Giant cell tumors(GCT) chondroblastomaChondrosarcomaOsteosarcomaEwings sarcomaFibrosarcomaMetastatic tumor. . . . . . . .
3、,Enneking stages,Malawer classification of shoulder girdle resections,Type resection,Intra-articular proximal humeral resection TypeA:abductors retained TypeB:abductors resected,Magnetic resonance imaging (MRI),Margin of resection,A margin of 3 to 4cm distal to theMRIextent of the tumor is sufficien
4、t and allows a type A resection,Margin of resection,Confined to bone,Intramedullary,Margin of resection,Extraosseous extension that involves the deltoid, a typeB resection will be required,Prosthesis Implantation,HemiarthroplastyTSA,B,Comparison,Hemiarthroplasty,TSA,Simlper procedure Avoid loosening
5、 and instability,Pain relief Activity Active range of motion,Despitethe increased technical difficulty ,longer operating time, and potential complications associated with the glenoid component, TSA appears to be our choice,Choice,Rotator cuff,Rotator cuff,支点,Soft tissue reconstruction,type Aresectio
6、n,Deltoid,（Supraspinatus）,Rotator cuff,15%,Dacron tape,Enhance tendon anchor(ETA),Soft tissue reconstruction,type Bresection,Obtain stability,Mobilization (Dacron tape),elbow,hand,Rehabilitation,Passive motion exercise,Active exercises,Active resistive strengthening exercises,Complications,Rotator cuff tearing,Postoperative glenohumeral instability,Periprosthetic humeral fracture,Thanks,
