Functional Outcomes of Primary Restoration of Elbow Flexion after Traumatic Brachial Plexus Palsy | ||
| The Egyptian Journal of Plastic and Reconstructive Surgery | ||
| Article 3, Volume 43, Issue 1, January 2019, Pages 7-11 PDF (7.4 M) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejprs.2019.65148 | ||
| Authors | ||
| Mohammad S Al Sabbahi* 1; Mohamad Abd El Aal1; Ahmed M Ali1; Mohammad H Ahmad1; Mohamed H Abdel Azeem* 2 | ||
| 1The Department of Plastic Surgery, Faculty of Medicine, Zagazig University, Zagazig | ||
| 2The Departments of General Surgery (Plastic Surgery Unit), Faculty of Medicine, Cairo University | ||
| Abstract | ||
| Brachial plexus injury represents a wide spectrum of a complex presentation. The primary goal in salvaging upper extremity function in adult patients is restoration of elbow flexion, because it's highly needed in routine daily activity. So the goal of this study study is to assess different primary nerve procedures used in elbow flexion restoration after traumatic brachial plexus palsy. Method: From April 2014 to May 2017, 22 patients with upper or total brachial plexus injury have had a primary procedure for elbow flexion restoration; nerve repair, nerve grafting and nerve transfer (double fascicular or intercostals) were used. Results: Of the 22 patients (one patient had bilateral injury so 23 procedures were done). Double fascicular transfer in 7 limbs, 12 intercostal nerve transfers in 12 limbs and nerve grafts in 4 limbs. 16 cases (69.6%) could achieve M3 or more | ||
| Keywords | ||
| Brachial plexus palsy – Erb's palsy – Nerve graft; – Nerve transfer – Intercostals | ||
| References | ||
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