Andrews C T, Taylor T C, Patterson V H
Department of Orthopaedic Surgery, Musgrave Park Hospital, Belfast, Northern Ireland, UK.
Neuromuscul Disord. 1998 Dec;8(8):580-4. doi: 10.1016/s0960-8966(98)00081-9.
Ten scapulothoracic arthrodesis procedures were performed in six patients with facioscapulohumeral muscular dystrophy in order to improve considerably restricted activities of daily living. Four of these procedures were bilateral. The duration of follow-up ranged from 28 to 120 months. All patients reported improved function in activities of daily living. Active shoulder abduction was improved by an average of 44 degrees, and active flexion increased by 56 degrees. There was no deterioration in improved upper limb function with time. Complications included pneumothorax, atelectasis, pleural effusion and re-exploration for a segment of retained drain.
对6例面肩肱型肌营养不良症患者实施了10次肩胛胸壁关节固定术，以显著改善严重受限的日常生活活动能力。其中4例手术为双侧手术。随访时间为28至120个月。所有患者均报告日常生活活动功能有所改善。主动肩外展平均改善44度，主动屈曲增加56度。上肢功能改善后未随时间恶化。并发症包括气胸、肺不张、胸腔积液以及因部分引流管残留而再次手术探查。
