How to Surgery for Scapula Osteoma

If a bone tumor occurs in the shoulder blade area, it will have a great impact on health. We know that the shoulder blade area has a rich blood supply and is also a frequently active joint. If a bone tumor occurs, it should be promptly examined and treated with surgery. Surgery is the best treatment method. You should be fully prepared before surgery and emphasize maintenance after surgery.

Indications Scapula tumor resection and reconstruction surgery is suitable for certain low-grade tumors of the scapula. Such as giant cell tumor of bone, low-grade chondrosarcoma, fibrosarcoma of bone, juxtacortical osteosarcoma, etc.

Preoperative preparation 1. Review the medical history, perform routine blood and urine tests, and tests of heart, lung, liver, and kidney function, strive to obtain confirmation of biopsy pathology, and review X-rays. 2. Conduct a thorough preoperative discussion and invite physicians from the fields of radiation, pathology, and anesthesia to participate if necessary. Determine diagnosis, surgical plan, etc. 3. Prepare sufficient blood source and blood transfusion volume according to the scope of the operation (partial, subtotal, or total resection). 4. For the resection of malignant bone tumors, especially highly malignant bone tumors, it is advisable to undergo 1 to 3 courses of chemotherapy before scapula resection.

Points to note during the operation : 1. After skin incision, peel off the fascia, stop bleeding and ligate, and the muscle anatomical layers must be clear. 2. Ligate several main supplying arteries: ① suprascapular artery; ② circumflex scapular artery; ③ subscapular artery. Avoid excessive bleeding during surgery. 3. After the scapula is removed, if a scapula prosthesis needs to be implanted immediately, the assistant must fully fix the position of the prosthesis to avoid the prosthesis shaking and causing suturing difficulties. 4. The muscles ending at the inner edge of the scapula (after scapula resection) should be sutured relative to the muscles ending at the outer side to maintain a certain muscle tension, thereby preserving the functions of abduction, flexion, and extension of the upper limbs. 5. Because the surgical wound is large, the muscles are rich and prone to bleeding, drainage should be placed in the surgical field.