ISSN: 1859 - 2872
Results of nerve transfers for reconstruction of elbow flexion, shoulder abduction and external rotation
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Abstract
Objective: To evaluate the restoration of elbow flexion, shoulder abduction and external rotation with nerve transfers for treatment of upper brachial plexus injury. Subject and method: 81 patients (77 males, 4 females), with the average age of 29.9, were injured in upper brachial plexus. The mean of preoperative delay was 4.3 months. They have been treated with double nerve transfers and transfer of nerve of the long head of triceps to the anterior branch of axillary nerve, transfers of spinal accessory nerve to suprascapular nerve from Jan 2012 to Jun 2017. All patients were observed during the mean time of 51.3 months (range: 24 to 89 months). Result: 100% elbow flexion recovery passed score M4, could lift 10.4kg on average, very good results: 67.9%, good results: 32.1%. Shoulder abduction recovery’s average was 128.2° (79% scored M4), very good results: 43.2%, good results: 35.8%, fair results: 8.7%, poor results: 12.3%. Shoulder external rotation recovery’s average was 108.3° (86.4% scored M4), very good results: 74.1%, good results: 12.3%, fair results: 6.2%, poor results: 7.4%. Conclusion: Combined nerves transfers for restoration of elbow flexion, shoulder abduction and external rotation in upper brachial plexus injury is an effective procedure that delives good results.
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References
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