{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T09:00:30Z","timestamp":1791536430014,"version":"4.3.4"},"reference-count":23,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Journal of Bone and Joint Surgery"],"published-print":{"date-parts":[[2020,2,5]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Facioscapulohumeral dystrophy (FSHD) is an autosomal-dominant myopathy characterized by facial and shoulder girdle muscle weakness with scapular winging. Scapulothoracic arthrodesis is a successful treatment approach for patients with &lt;90\u00b0 of shoulder elevation. The purpose of the present study was to assess functional outcomes and complications following scapulothoracic arthrodesis in patients with FSHD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We retrospectively reviewed the records of 40 patients (64 shoulders) in whom scapulothoracic arthrodesis was performed. To achieve fusion, multiple multifilament cables were used together with autologous bone and allograft bone. Preoperative and postoperative shoulder elevation and abduction; Disabilities of the Arm, Shoulder and Hand (Quick version, qDASH) scores; and pulmonary function were compared. Recorded complications were classified as pulmonary or scapular.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The mean age of the patients at the time of the operation was 25.4 years (range, 15 to 60 years), and the mean duration of follow-up was 71.2 months (range, 12 to 185 months). When the preoperative values were compared with those at the latest follow-up, significant improvement was noted in terms of elevation (from a mean [and standard deviation] of 60.6\u00b0 \u00b1 17.2\u00b0 to 123.7\u00b0 \u00b1 26.7\u00b0; p &lt; 0.001), abduction (from 52.7\u00b0 \u00b1 15.8\u00b0 to 98.8\u00b0 \u00b1 20.3\u00b0; p &lt; 0.001), and qDASH scores (from 34.7 \u00b1 11.4 to 13.3 \u00b1 13.1; p &lt; 0.001). The overall complication rate was 26.6%. There were 7 pulmonary complications (4 pneumothoraxes, 2 pleural effusions, and 1 major atelectasis), and 5 chest tube placements were required. Ten complications (including 3 rib fractures, 1 brachial plexus palsy, 2 cases of implant irritation, 2 nonunions, 1 delayed union, and 1 scapular fracture) were related to the scapular fixation, and 7 revision procedures were required. Scapulothoracic fusion was achieved in all patients but 1, who had a scapular fracture. Pulmonary function tests were performed for 19 patients, and no difference was observed between preoperative and postoperative results.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Scapulothoracic arthrodesis with use of multifilament cables is a successful surgical technique with high fusion rates and low morbidity. Pulmonary complications are common but resolve with careful attention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence:<\/jats:title>\n                    <jats:p>\n                      Therapeutic\n                      <jats:underline>Level IV<\/jats:underline>\n                      . See Instructions for Authors for a complete description of levels of evidence.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.19.00571","type":"journal-article","created":{"date-parts":[[2019,10,28]],"date-time":"2019-10-28T03:53:29Z","timestamp":1572234809000},"page":"237-244","source":"Crossref","is-referenced-by-count":27,"title":["Functional Outcomes and Complications Following Scapulothoracic Arthrodesis in Patients with Facioscapulohumeral Dystrophy"],"prefix":"10.2106","volume":"102","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2965-7690","authenticated-orcid":false,"given":"\u0130lker","family":"Eren","sequence":"first","affiliation":[{"name":"Departments of Orthopaedics and Traumatology (\u0130.E., O.B., and M.D.) and Neurology (P.O.), Koc University School of Medicine, Istanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6241-2586","authenticated-orcid":false,"given":"Ali","family":"Er\u015fen","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology, Istanbul University School of Medicine, Istanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2137-1164","authenticated-orcid":false,"given":"Olgar","family":"Birsel","sequence":"additional","affiliation":[{"name":"Departments of Orthopaedics and Traumatology (\u0130.E., O.B., and M.D.) and Neurology (P.O.), Koc University School of Medicine, Istanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5708-9259","authenticated-orcid":false,"given":"Ata Can","family":"Atalar","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology, Istanbul University School of Medicine, Istanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8202-5313","authenticated-orcid":false,"given":"Piraye","family":"Oflazer","sequence":"additional","affiliation":[{"name":"Departments of Orthopaedics and Traumatology (\u0130.E., O.B., and M.D.) and Neurology (P.O.), Koc University School of Medicine, Istanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8411-7596","authenticated-orcid":false,"given":"Mehmet","family":"Demirhan","sequence":"additional","affiliation":[{"name":"Departments of Orthopaedics and Traumatology (\u0130.E., O.B., and M.D.) and Neurology (P.O.), Koc University School of Medicine, Istanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2019,10,25]]},"reference":[{"issue":"2","key":"bib1-20230811","first-page":"396","article-title":"Regional mapping of facioscapulohumeral muscular dystrophy gene on 4q35: combined analysis of an international consortium","volume":"51","author":"Sarfarazi","year":"1992","journal-title":"Am J Hum Genet."},{"issue":"12","key":"bib2-20230811","doi-asserted-by":"crossref","first-page":"755","DOI":"10.1136\/jmg.26.12.755","article-title":"Estimation of age dependent penetrance in facioscapulohumeral muscular dystrophy by minimising ascertainment bias","volume":"26","author":"Lunt","year":"1989","journal-title":"J Med Genet."},{"issue":"4","key":"bib3-20230811","doi-asserted-by":"crossref","first-page":"367","DOI":"10.3109\/17453679108994472","article-title":"Locomotor problems in infantile facioscapulohumeral muscular dystrophy. 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