Careful selection of patients whose tumor does not involve the neurovascular bundle or chest wall is required.
Optimal function is achieved by muscle transfer and skeletal reconstruction.
A custom prosthesis is used to maintain length and stabilize the distal humerus following resection of sarcomas of the proximal humerus. A recently proposed classification sysm of the various shoulder girdle resections is described. The Tikhoff-Linberg procedure and its modifications should continue to be used for limb salvage in selected patients with tumors in or around the shoulder girdle. In 1928, Linberg described a procedure for resection of the shoulder girdle in selected patients with primary bone or soft tissue sarcomas. The resection consisted of en bloc removal of the scapula, clavicle, and proximal humerus with preservation of the hand and forearm.