Please login to view this media
- Talk
- 15/09/2021
- Canada
Functional Outcomes After Intra- and Extra-Articular Resections for Primary Malignancy in the Shoulder
Description
The presentation begins with Jennifer Nevin, an oncology fellow from Mount Sinai Hospital in Toronto, introducing her topic on functional outcomes following intra- and extra-articular resections for primary shoulder tumors. She discusses the historical context of limb salvage surgery, noting Linberg's 1928 work on interscapular thoracic resection as a major shift from forequarter amputation. Jennifer highlights that while limb salvage techniques have advanced, reconstruction primarily provided a stable platform for elbow and wrist function, leading to a critical examination of functional outcomes to identify improvements over the last three decades.
In her analysis, she references a prospectively collected database from 1989 to 2019, detailing patient profiles, types of resections (intra or extra-articular), and various reconstruction methods. She emphasizes the long-term follow-up, functional outcomes measured by MSTS and TESS scores, and complications associated with different reconstruction types. Notably, she discusses the increasing prevalence of complications over time, including issues unique to specific reconstruction techniques.
Another significant point Jennifer makes is regarding patient-reported outcomes related to shoulder function. She encourages a deeper look into daily activities post-surgery, such as personal hygiene and dressing, while noting that patients struggled with more strenuous activities like lifting weights or performing heavy chores.
In her conclusion, she acknowledges that despite improvements, there remains a need to better align surgery outcomes with patient expectations as survival rates increase. She ends on a hopeful note regarding innovations in surgical techniques, like reverse shoulder arthroplasty, that may enhance future outcomes, expressing the desire for her study to guide patient counseling and expectations post-surgery.