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Scapulothoracic fusion using nonabsorbable suture fixation: surgical technique and review of the literature

BACKGROUND: Historically, scapulothoracic fusion (STF) is performed using steel wire and plate construct fixation. The purpose of this study is to report a recent fusion achieved through ultra-high-molecular-weight polyethylene-reinforced suture fixation as well as to perform a systematic literature...

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Autores principales: Scollan, Joseph P., Chughtai, Morad, Evans, Peter J., Styron, Joseph F.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10426597/
https://www.ncbi.nlm.nih.gov/pubmed/37588150
http://dx.doi.org/10.1016/j.xrrt.2021.01.003
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author Scollan, Joseph P.
Chughtai, Morad
Evans, Peter J.
Styron, Joseph F.
author_facet Scollan, Joseph P.
Chughtai, Morad
Evans, Peter J.
Styron, Joseph F.
author_sort Scollan, Joseph P.
collection PubMed
description BACKGROUND: Historically, scapulothoracic fusion (STF) is performed using steel wire and plate construct fixation. The purpose of this study is to report a recent fusion achieved through ultra-high-molecular-weight polyethylene-reinforced suture fixation as well as to perform a systematic literature review of techniques, fusion rates, complications, and reoperation. METHODS: Patient data were gathered from chart review and clinical encounters. For the review, MEDLINE, Embase, and Ovid databases were queried for STF cases. Thirty articles reporting on 386 fusion procedures were included. RESULTS: Including this patient, 5 of 387 (1.3%) STFs have been attempted with fiber suture. Fusion rates of metal-only constructs is 90.8% (346 of 381) with 11.3% (43 of 381) requiring wire removal or trimming because of symptomatic hardware and 7% (27 of 381) causing a postoperative pneumothorax. Although a small sample size, all fiber-suture constructs have achieved union without implant removal and without pneumothorax development. In this patient, fusion was determined radiographically at 6 months with substantial improvement in pain level and function. CONCLUSION: Scapulothoracic fusion has benefit to patients to have failed other management options for winged scapula, most commonly those with neurologic trauma or facioscapulohumeral muscular dystrophy. With advancements in surgical options, fiber-suture offers an alternative to steel wire to achieve fusion. Further cases with longer term follow-up are needed to determine if significant differences in outcomes exist between constructs.
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spelling pubmed-104265972023-08-16 Scapulothoracic fusion using nonabsorbable suture fixation: surgical technique and review of the literature Scollan, Joseph P. Chughtai, Morad Evans, Peter J. Styron, Joseph F. JSES Rev Rep Tech Original Article BACKGROUND: Historically, scapulothoracic fusion (STF) is performed using steel wire and plate construct fixation. The purpose of this study is to report a recent fusion achieved through ultra-high-molecular-weight polyethylene-reinforced suture fixation as well as to perform a systematic literature review of techniques, fusion rates, complications, and reoperation. METHODS: Patient data were gathered from chart review and clinical encounters. For the review, MEDLINE, Embase, and Ovid databases were queried for STF cases. Thirty articles reporting on 386 fusion procedures were included. RESULTS: Including this patient, 5 of 387 (1.3%) STFs have been attempted with fiber suture. Fusion rates of metal-only constructs is 90.8% (346 of 381) with 11.3% (43 of 381) requiring wire removal or trimming because of symptomatic hardware and 7% (27 of 381) causing a postoperative pneumothorax. Although a small sample size, all fiber-suture constructs have achieved union without implant removal and without pneumothorax development. In this patient, fusion was determined radiographically at 6 months with substantial improvement in pain level and function. CONCLUSION: Scapulothoracic fusion has benefit to patients to have failed other management options for winged scapula, most commonly those with neurologic trauma or facioscapulohumeral muscular dystrophy. With advancements in surgical options, fiber-suture offers an alternative to steel wire to achieve fusion. Further cases with longer term follow-up are needed to determine if significant differences in outcomes exist between constructs. Elsevier 2021-02-27 /pmc/articles/PMC10426597/ /pubmed/37588150 http://dx.doi.org/10.1016/j.xrrt.2021.01.003 Text en © 2021 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Original Article
Scollan, Joseph P.
Chughtai, Morad
Evans, Peter J.
Styron, Joseph F.
Scapulothoracic fusion using nonabsorbable suture fixation: surgical technique and review of the literature
title Scapulothoracic fusion using nonabsorbable suture fixation: surgical technique and review of the literature
title_full Scapulothoracic fusion using nonabsorbable suture fixation: surgical technique and review of the literature
title_fullStr Scapulothoracic fusion using nonabsorbable suture fixation: surgical technique and review of the literature
title_full_unstemmed Scapulothoracic fusion using nonabsorbable suture fixation: surgical technique and review of the literature
title_short Scapulothoracic fusion using nonabsorbable suture fixation: surgical technique and review of the literature
title_sort scapulothoracic fusion using nonabsorbable suture fixation: surgical technique and review of the literature
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10426597/
https://www.ncbi.nlm.nih.gov/pubmed/37588150
http://dx.doi.org/10.1016/j.xrrt.2021.01.003
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