Neurotization in brachial plexus injury - A 3 year experience in tertiary government institution
Journal Title: Indian Journal of Neurosciences - Year 2018, Vol 4, Issue 1
Abstract
Introduction Brachial plexus injuries are devastating injuries which leaves patient with useless upper limb Many poor patients with these injuries attending the government hospitals in the hope of treatment but very few government hospitals are operating such patients Neurotization is very effective treatment among all other methodsMaterials and Methods This is retrospective study Between February 2014 and May 2017 total 13 patients with brachial plexus injuries underwent neurotization in our department Inclusion criterias were injuries to the upper spinal roots C5 C6 C7 Surgery within 3 to 12months of injury and Minimum follow up period of 12 months Neurotization procedures were used for shoulder included transfer of spinal accessory nerve to suprascapular nerve in 12 patients Somsak procedure in 4 patients for elbow included Oberlin 1 procedure in 6 patients oberline 2 procedure in 5 patients Intercostal nerves to musculocutaneous nervenbspin4 patientsResults Medical Research Council MRC scoring system was used to assess motor recovery Results for shoulder and elbow function recovery seen as excellent in 1 769 and 32307 good in 1 769 and 4 3076 fair in 5 3846 and 6 4615 poor in 64615 and 0 patients respectivelyConclusions Neurotization is a simple and elegant procedure Young patients with short denervation time intraplexal and direct nerve transfers close to the target muscle decides the good functional outcomeKeywords Brachial plexus injury Neurotization Denervation time Somsak and Oberline proceduresnbsp
Authors and Affiliations
Rajeev M. P. , Premkumar Sasi, Pavitharan V. M. , Pravin Yashwant Waykule
Keywords
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