ORTHOPAEDIC RECONSTRUCTION IN LATE PERIOD OF BRACHIAL PLEXUS INJURIES
Journal Title: Issues of Rehabilitation, Orthopaedics, Neurophysiology and Sport Promotion-IRONS - Year 2016, Vol 17, Issue 17
Abstract
Introduction Brachial plexus injury and peripheral nerve trauma at the level of neck and shoulder, are characterized as the result by a rough dysfunction of upper extremity, and in most cases lead to disability. Aim Description of possibilities of the orthopaedic reconstruction in the late period after upper brachial plexus injury. Patients, methods and results According to algorithms developed by J.Y. Alnot treatment tactics should be as follow. If within 21 days there are no signs of positive dynamics of restoration, patient must undergo examination. In case of visualisation of brachial plexus damage, or non-chronological recovery, surgery should be undertaken. In late period, or in case of function deficit, late orthopaedic reconstruction should be performed. Based on our classification, we developed the orthopaedic treatment tactics of brachial plexus lesions which affected the shoulder joint, depending on the severity of injury. Another way for the restoration of motion in the shoulder joint may be the approach depending on the level of brachial plexus lesion and preservation of muscles groups function in the shoulder girdle. Conclusions Despite the development of brachial plexus neurotization techniques, orthopedic reconstructive surgeries occupy a stable niche in the treatment (including primary) of the patients and remain the only method of choice in case of the inefficient muscles reinervation.
Authors and Affiliations
Sergiy Strafun, Andrew Lysak
Keywords
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- EP ID EP197607
- DOI 10.19271/IRONS-00022-2016-17
- Views 51
- Downloads 0
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