Outcome of Subscapularis release and Latissimus dorsi transfer to Infraspinatus in children with obstetric brachial plexus palsy: A retrospective Cohort study.
Journal Title: Journal of Pakistan Orthopaedic Association - Year 2021, Vol 33, Issue 02
Abstract
Objective: To determine the functional outcome of Subscapularis release and Latissimus dorsi transfer to Infraspinatus in children with obstetric brachial plexus palsy. Methods: This retrospective Cohort study was conducted in National Orthopaedic and General Hospital Bahawalpur and Orthopaedic unit Lady Reading Hospital Peshawar.The records of all children of obstetric brachial plexus palsy fulfilling the inclusion criteria and operated with Subscapularis release and Latissimus dorsi transfer to Infraspinatus in time period extending from 25th January 2016 to 25th December 2020 were reviewed.Functional outcome was assessed by comparing pre-operative and post operative shoulder abduction and external rotation and P value was calculated with Chi-square test( P value <0.05 was considered significant). Results: We operated 19 children of obstetric brachial plexus palsy with Subscapularis release and Latissimus dorsi transfer to Infraspinatus.Male children were 13(68.42%) and female 6(31.5%).The mean follow-up was 9.78±2.48 months. Right side was involved in 11(57.89%) patients and left in 8(42.1%).Preoperatively mean external rotation was -12.63?±7.5 and abduction 65?±14.24 All patients showed significant improvement in shoulder range of motion with postoperative mean external rotation 50.78?±9.46 and abduction 117.63?±13.37( P value <0.05). Conclusion: Subscapularis release and Latissimus dorsi transfer to Infraspinatus is a good surgical technique with excellent functional outcome. We recommend this technique in children with obstetric brachial plexus palsy without spontaneous recovery.
Authors and Affiliations
Baqir Hussain1,Tehseen Ahmad Cheema2, Hussan Birkhez Shami3,Asad Ullah Jan4,Anwar Imran5,Muhammad Ali6
Keywords
Related Articles
- EP ID EP741495
- DOI -
- Views 22
- Downloads 0
Augmented Repair of Massive Rotator cuff tear with Tensor Fascia Lata Autograft.
Objective: To determine the functional outcome of massive rotator cuff tear treated with tensor fascia lata autograft. Methods: This descriptive study was conducted in Hand and Upper limb surgery Center CMH Lahore Med...
Frequency of Different Bacteria and their Antibiotics Sensitivity Pattern in Chronic Osteomyelitis
Objective: To determine the frequency of different bacteria and their antibiotic sensitivity patterns in patients presenting with chronic Osteomyelitis. Methods: This descriptive study was conducted in Orthopedics and...
The Emerging Nanoweapon of Orthopaedic Surgery.
Nanotechnology refers to the manipulation of structure and properties of materials at the nanometer scale(individual atoms ,molecule and supramolecular level) through biological, physical and chemical routes.1 This tiny...
Experience of the Club Foot Management by Ponseti Technique
To find out the results of Ponseti for the treatment of clubfoot. Design: Prospective and Experimental. Material and Methods: Sixty patients comprising both gender (Male & Female) were included in this study, age l...
Outcome of Displaced Lateral Condyle Humerus Fractures in Children’s Treated with K-wire Fixation
To assess the outcome of lateral condyle of humerus fractures stabilized with K-wire fixation. Methods: This prospective study was conducted in department of orthopaedics at Chandka Medical College Hospital, Shaheed M...