Lower pectoralis muscle transfer for shoulder flexion reconstruction in brachial plexus palsy

Abstract

One year after surgery the patient reported a good subjective outcome for the wrist and no donor site morbidity. Pain was reduced (VAS on loading 1/10), range of motion remained the same (flexion/extension 60 /25 ), but grip strength had increased (40 Kg). DASH score was 32. The patient was very satisfied, reporting that he now could trust in his hand again.We conclude that an osteochondral rib graft can be a successful alternative treatment option for AVN of the capitate. A benefit of this procedure lies in the ability to sculpt the cartilage of the graft to fit the joint perfectly, and without using any foreign material or implant. Hypothetically, this may be beneficial in the long-term.