This is due to the fact that the synovia arising from the capsule prevents articular cartilage degeneration. The low incidence of postsurgical complications, the local tumor recurrence (2 out of 7 patients) and the once case of metastasis (out of see more 7 patients) were similar to those reported by Mnaymneh [4] and occurred less frequently than patients treated with scapular prostheses [6]. For complications related to scapular allografts such as dislocation, degeneration, and instability of the glenohumeral

joint, along with rejection, absorption, nonunions, and deep infections of allografts are primarily observed at follow-up rather than during the immediate postoperative period. In our case series, complications occurred infrequently during the follow-up period. Nonetheless, we hypothesize that complications

like articular degeneration and allograft absorption are invariably unavoidable when performing this type of surgery. Conclusion The scapular allograft reconstruction following tumor resection can successfully be performed with satisfactory functional, cosmetic, and oncological results. The glenoid-saved reconstruction is advocated over the glenoid-resected procedure. The deltoid and articular capsule contribute significantly to shoulder function, stability, and contour. Thus, we suggest that their preservation and/or reconstruction is an important consideration during the use of scapular allografts. It is also DNA ligase recommended that the rotator cuff be reconstructed, despite the inherent difficulties associated with its intraoperative reattachment. Though the results presented here demonstrate Idasanutlin research buy satisfactory clinical results, the study is limited by short-term follow-up for some patients and the small number of cases. Further research, however, is certainly warranted. Acknowledgements The authors would like to thank Mr. Richard and Mr. Robot Ghimire for their assistance in English-language editing. References 1. Ennecking WF, Dunham W, Gebhardt M, et al.: A system for the classification of skeletal resections. Chir Organi Mov 1990, 75 (1 suppl) : 217–240. 2. Lee FY, Hornicek FJ, Hazan EJ, et

al.: Reconstruction of the shoulder joint using an GSK2118436 nmr acetabular allograft: A report of two cases. Clin Orthop 1998, 357: 116–121.CrossRefPubMed 3. Cheng EY, Gebhardt MC: Allograft reconstruction of the shoulder after bone tumor resection. Orthop Clin North Am 1991, 22: 37–48.PubMed 4. Mnaymneh WA, Temple HT, Malinin TI: Allograft reconstruction after resection of malignant tumors of thescapula. Clin Orthop 2002, 405: 223–229.CrossRefPubMed 5. Wilde LF, Plasschaert FS, Audenaert EA, et al.: Functional recovery after a reverse prosthesis for reconstruction of the proximal humerus in tumor surgery. Clin Orthop 2005, 430: 156–162.PubMed 6. Asavamongkolkul A, Eckardt JJ, Eilber FR, et al.: Endoprosthetic reconstruction for malignant upper extremity tumors.