The influence of pre-surgical delay on functional outcome after reconstruction of brachial plexus injuries

Jivan, Sharmila; Kumar, Nishant; Wiberg, Mikael; Kay, Simon

doi:10.1016/j.bjps.2007.11.027

Cited by 93 publications

(66 citation statements)

References 35 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The mean time from trauma to surgery in the group of responders was almost half that of non-responders, a difference that was highly statistically significant (18,23 Malessy et al (26) however reported that the reinnervation of the shoulder in patients with upper brachial plexus palsy following the suprascapular nerve neurotization is disappointingly low.…”

Section: Mohammad-reda A: Early Post-operative Results After Repair Omentioning

confidence: 98%

See 1 more Smart Citation

Early post operative results after repair of traumatic brachial plexus palsy

Ahmad

2012

Turkish Neurosurgery

View full text Add to dashboard Cite

AIm: Treatment options for traumatic brachial plexus injuries include nerve grafting, or neurotization. The type of lesion and the reconstructive procedures affect functional results and postoperative pain relief. mAterIAl and methOds: A total number of twenty five patients suffering from post-traumatic brachial plexus injury were included in the study. The patients underwent exploration and primary repair of the affected plexus, based on case by case policy.results: Spinal accessory nerve transfer to suprascapular nerve procedure regained 78.95% of functional muscle power, 10.50% of non functional muscle power and only 10.5 % of non innervated muscle. The Oberlin procedure regained 83.33% with elbow flexion muscle power, 16.67% with non functional muscle power. Intercostal nerve transfer to musculocutaneous nerve regained 62.5% with functional muscle power, 25% with non functional muscle power and only 12.5 % with non innervated muscle. The shoulder, elbow and wrist extension functions were significantly improved early post-operatively. In addition, the post-operative improvement of shoulder, elbow and wrist extension functions had significant negative correlations with the pre-operative elapsed time, and accompanied by a significant positive correlation with post-operative follow up period.COnClusIOn: Early intervention for traumatic brachial plexus palsy is recommended to get good results with pain relief. BulGulAr: Supraskapular sinire spinal aksesuar sinir transferi %78,95 işlevsel kas gücü, %10,50 işlevsel olmayan kas gücü ve sadece %10,5 innerve olmayan kas kazandırdı. Oberlin işlemi %83,33 dirsek fleksiyonu kas gücü ve %16,67 işlevsel olmayan kas gücü kazandırdı. Müskülokütanöz sinire interkostal sinir transferi %62,5 işlevsel kas gücü, %25 işlevsel olmayan kas gücü ve sadece%12,55 innerve olmayan kas kazandırdı. Omuz, dirsek ve bilek ekstansiyon işlevleri postoperatif erken dönemde önemli ölçüde düzeldi. Ayrıca, omuz, dirsek ve bilek ekstansiyon işlevlerinin postoperatif düzelmesinin preoperatif geçen süreyle önemli bir negatif korelasyonu bulundu ve postoperatif takip dönemiyle önemli bir pozitif korelasyonu vardı. sOnuÇ: Travmatik brakiyal pleksus palsisinde ağrı giderilmesiyle birlikte iyi sonuçlar alınması için erken girişim önerilir.

show abstract

Section: Mohammad-reda A: Early Post-operative Results After Repair Omentioning

confidence: 98%

“…nerve (3,11,19,23,24). The best outcome of neurotization can be expected in short denervation times and in the presence of proximal healthy roots (4).…”

Section: Mohammad-reda A: Early Post-operative Results After Repair Omentioning

confidence: 99%

Early post operative results after repair of traumatic brachial plexus palsy

Ahmad

2012

Turkish Neurosurgery

View full text Add to dashboard Cite

show abstract

“…However, there is a consensus that late repairs offer no functional benefit. 2,22,23 Reports indicate that preoperative delay, ranging from 3 to 8 months, reduces the success rates for intercostal nerve transfer. 2,7,24 On the other hand, results of transfer of the partial ulnar nerve has been related closely to the short preoperative delay.…”

Section: Discussionmentioning

confidence: 99%

A Comparison of Intercostal and Partial Ulnar Nerve Transfers in Restoring Elbow Flexion Following Upper Brachial Plexus Injury (C5-C6±C7)

Coulet

Boretto

Lazerges

et al. 2010

The Journal of Hand Surgery

View full text Add to dashboard Cite

“…Strict medical priority has to be applied in handling all such injuries. Thus, exploration of the brachial plexus nerve injuries may need to be performed with ad elay,a lthough early reconstruction has recently been shown to improve results after the brachial plexus injury (35); aphenomenon related to for example cell death and efficiency of axonal outgrowth (6, 36).…”

Section: Timing Of Nerve Repairmentioning

confidence: 99%