Volume : VII, Issue : X, October - 2018
Study of epidemiology and nerve transfer surgeries for elbow flexion in upper brachial plexus injuries–A five year review
Dr. N. Chandramouli Hariharan, Dr. M. Sugumar
Abstract :
Study of epidemiology and nerve transfer surgeries for elbow flexion in upper achial plexus injuries–A five year review
Introduction
Traumatic achial plexus palsy is one of the commonest disability among the survivors of road traffic accidents.Though nerve transfers for elbow reanimation are unpredictable in in pan achial plexus palsy, Oberlin’s procedure of transferring an intact ulnar nerve fascicle revolutionize the scope for recovery of elbow flexion in upper achial plexus injuries.
Materials and methods
This is a retrospective study of patients with upper achial plexus palsy who were operated for elbow neurotization in our centre from January 2012 to December 2016.Out of the 42 patients who underwent the elbow neurotization procedures for upper achial plexus injury, only 24 patients responded to our call. Hence, epidemiological data are available for 42 patients but evaluation studies are possible in only 24 patients.
Results
The age of the patients ranged from 15 years to 50 years.In 30 patients the right side was affected and in 12 patients the left side was affected.50% of the patients sustained associated head injury. Only in 8% of patients there was no associated injury.In Oberlin transfer 60% of patients achieved a power of Gr IV. 20% obtained a power of Gr III.In 20% of patients no useful flexion could be achieved.
Conclusion
In upper achial plexus injuries Oberlin 1 transfer if done at the earliest possible time, offers the best hope for the recovery of elbow flexion.
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DOI : 10.36106/ijsr
Cite This Article:
DR.N.CHANDRAMOULI HARIHARAN, DR.M.SUGUMAR, Study of epidemiology and nerve transfer surgeries for elbow flexion in upper brachial plexus injuries–A five year review, INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH : Volume-7 | Issue-10 | October-2018
Number of Downloads : 115
References :
DR.N.CHANDRAMOULI HARIHARAN, DR.M.SUGUMAR, Study of epidemiology and nerve transfer surgeries for elbow flexion in upper brachial plexus injuries–A five year review, INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH : Volume-7 | Issue-10 | October-2018
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