Al Sabbahi, M., Abd El Aal, M., Ali, A., Ahmad, M., Abdel Azeem, M. (2019). Functional Outcomes of Primary Restoration of Elbow Flexion after Traumatic Brachial Plexus Palsy. The Egyptian Journal of Plastic and Reconstructive Surgery, 43(1), 7-11. doi: 10.21608/ejprs.2019.65148
Mohammad S Al Sabbahi; Mohamad Abd El Aal; Ahmed M Ali; Mohammad H Ahmad; Mohamed H Abdel Azeem. "Functional Outcomes of Primary Restoration of Elbow Flexion after Traumatic Brachial Plexus Palsy". The Egyptian Journal of Plastic and Reconstructive Surgery, 43, 1, 2019, 7-11. doi: 10.21608/ejprs.2019.65148
Al Sabbahi, M., Abd El Aal, M., Ali, A., Ahmad, M., Abdel Azeem, M. (2019). 'Functional Outcomes of Primary Restoration of Elbow Flexion after Traumatic Brachial Plexus Palsy', The Egyptian Journal of Plastic and Reconstructive Surgery, 43(1), pp. 7-11. doi: 10.21608/ejprs.2019.65148
Al Sabbahi, M., Abd El Aal, M., Ali, A., Ahmad, M., Abdel Azeem, M. Functional Outcomes of Primary Restoration of Elbow Flexion after Traumatic Brachial Plexus Palsy. The Egyptian Journal of Plastic and Reconstructive Surgery, 2019; 43(1): 7-11. doi: 10.21608/ejprs.2019.65148
Functional Outcomes of Primary Restoration of Elbow Flexion after Traumatic Brachial Plexus Palsy
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
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