Wide resection of tumors involving the glenoid region of the scapula compro
mises a center of motion in the shoulder joint and can cause significant lo
ss of function. Two patients with aggressive tumor of the scapula were trea
ted with wide resection and reconstruction using an osteoarticular acetabul
ar allograft, The ball and socket geometry of the newly reconstructed joint
and secure reattachment of soft tissues in the allograft provided a stable
shoulder joint. The functional results of the two patients were 87 % and 9
3 %, respectively according to the Musculoskeletal Tumor Society system. In
a select group of patients with locally aggressive lesions of the scapula,
a surgical reconstruction with an osteoarticular allograft would yield sat
isfactory functional and cosmetic results.