Summary
The authors report on two groups of patients (each with 12) with primary bone tumors of the humerus who underwent either a classical Tikhoff-Linberg (T-L) procedure or a modified technique by which the body of the scapula was saved. The latter procedure was an “en bloc” resection of the glenohumeral joint after an extra-capsular osteotomy of the neck of the scapula, followed by reconstruction with a modular prosthesis. Indications, perioperative differences, and complications of both procedures are discussed. Besides producing better aesthetic and functional results, the modified technique offered the advantages of shorter anesthesia time, less blood loss, and a better anchorage of the prosthesis. The results of this study show that the proposed modification of the T-L procedure is indicated in patients with bone tumors of the proximal humerus in which invasion of the joint capsule is present without macroscopic involvement of the glenoid.
Similar content being viewed by others
References
Aubriot JN, Richter D, Vielpeau C (1983) Operation de Tikhoff-Linberg ou resection interscapulo-thoracique en bloc. Ann Orthop Ouest 15:81–85
Enneking WF, Spanier SS, Goodman MA (1980) A system for the surgical staging of musculoskeletal sarcoma. Clin Orthop 153:106–120
Enneking WF (1987) A system for the functional evaluation of the surgical management of musculoskeletal tumors. Limb salvage in musculoskeletal oncology. Churchill Livingstone, New York, pp 5–15
Francis KC, Worcester JN (1962) Radical resection for tumors of the shoulder with preservation of a functional extremity. J Bone Joint Surg [Am] 44:1423–1430
Francis KC, Marchetti PG, Caruso M (1964) La resezione interscapolo toracica. Arch Putti 19:331–340
Guerra A, Capanna R, Biagini R, Ruggieri P, Campanacci M (1985) Resezione extraarticolare della spalla (Tikhoff-Linberg). G Ital Ortop Traumatol 11:157–163
Janecki C, Nelson CL (1972) En bloc resection of the shoulder girdle: technique and indications. J Bone Joint Surg [Am] 54:1754–1758
Linberg BE (1928) Interscapulo-thoracic resection for malignant tumors of the shoulder joint region. J Bone Joint Surg 10:344–349
Machson NJ (1968) Modification der Resectio interscapulothoracalis. Beitr Orthop 15:87–88
Malawer MM, Sugarbaker PH, Lampert M, Baker AR, Gerber NL (1985) The Tikhoff-Linberg procedure: report of the patients and presentation of a modified technique for tumors of the proximal humerus. Surgery 975:518–528
Marcove RC (1984) Tikhoff-Linberg procedure: author's modification. The surgery of tumors of bone and cartilage. Grune & Stratton, Orlando
Marcove RC, Lewis MN, Huvos AG (1977) En bloc upper humeral interscapulo-toracic resection. Clin Orthop 124:219–228
Pack GT, Crampton RS (1962) The Tikhoff-Linberg resection of the shoulder girdle. Clin Orthop 19:148–161
Author information
Authors and Affiliations
Additional information
Supported in part by Special Project Oncology, National Council for Research, grant no. 87.02810.44
Rights and permissions
About this article
Cite this article
Capanna, R., van Horn, J.R., Biagini, R. et al. The Tikhoff-Linberg procedure for bone tumors of the proximal humerus: the classical “extensive” technique versus a modified “transglenoid” resection. Arch Orthop Trauma Surg 109, 63–67 (1990). https://doi.org/10.1007/BF00439380
Received:
Issue Date:
DOI: https://doi.org/10.1007/BF00439380