Brachial plexus surgery: the role of the surgical technique for improvement of the functional outcome
OBJECTIVE: The study aims to demonstrate the techniques employed in surgery of the brachial plexus that are associated to evidence-based improvement of the functional outcome of these patients. METHOD: A retrospective study of one hundred cases of traumatic brachial plexus injuries. Comparison betwe...
Saved in:
| Main Author: | |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Thieme Revinter Publicações
2011-08-01
|
| Series: | Arquivos de Neuro-Psiquiatria |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2011000500016&lng=en&tlng=en |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849305024268599296 |
|---|---|
| author | Leandro Pretto Flores |
| author_facet | Leandro Pretto Flores |
| author_sort | Leandro Pretto Flores |
| collection | DOAJ |
| description | OBJECTIVE: The study aims to demonstrate the techniques employed in surgery of the brachial plexus that are associated to evidence-based improvement of the functional outcome of these patients. METHOD: A retrospective study of one hundred cases of traumatic brachial plexus injuries. Comparison between the postoperative outcomes associated to some different surgical techniques was demonstrated. RESULTS: The technique of proximal nerve roots grafting was associated to good results in about 70% of the cases. Significantly better outcomes were associated to the Oberlin's procedure and the Sansak's procedure, while the improvement of outcomes associated to phrenic to musculocutaneous nerve and the accessory to suprascapular nerve transfer did not reach statistical significance. Reinnervation of the hand was observed in less than 30% of the cases. CONCLUSION: Brachial plexus surgery renders satisfactory results for reinnervation of the proximal musculature of the upper limb, however the same good outcomes are not usually associated to the reinnervation of the hand. |
| format | Article |
| id | doaj-art-40e7be409db0430aa2b1f7cd16304a84 |
| institution | Kabale University |
| issn | 1678-4227 |
| language | English |
| publishDate | 2011-08-01 |
| publisher | Thieme Revinter Publicações |
| record_format | Article |
| series | Arquivos de Neuro-Psiquiatria |
| spelling | doaj-art-40e7be409db0430aa2b1f7cd16304a842025-08-20T03:55:35ZengThieme Revinter PublicaçõesArquivos de Neuro-Psiquiatria1678-42272011-08-0169466066510.1590/S0004-282X2011000500016S0004-282X2011000500016Brachial plexus surgery: the role of the surgical technique for improvement of the functional outcomeLeandro Pretto FloresOBJECTIVE: The study aims to demonstrate the techniques employed in surgery of the brachial plexus that are associated to evidence-based improvement of the functional outcome of these patients. METHOD: A retrospective study of one hundred cases of traumatic brachial plexus injuries. Comparison between the postoperative outcomes associated to some different surgical techniques was demonstrated. RESULTS: The technique of proximal nerve roots grafting was associated to good results in about 70% of the cases. Significantly better outcomes were associated to the Oberlin's procedure and the Sansak's procedure, while the improvement of outcomes associated to phrenic to musculocutaneous nerve and the accessory to suprascapular nerve transfer did not reach statistical significance. Reinnervation of the hand was observed in less than 30% of the cases. CONCLUSION: Brachial plexus surgery renders satisfactory results for reinnervation of the proximal musculature of the upper limb, however the same good outcomes are not usually associated to the reinnervation of the hand.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2011000500016&lng=en&tlng=encirurgia de plexo braquialenxertos nervosostransferência de nervosparalisia |
| spellingShingle | Leandro Pretto Flores Brachial plexus surgery: the role of the surgical technique for improvement of the functional outcome Arquivos de Neuro-Psiquiatria cirurgia de plexo braquial enxertos nervosos transferência de nervos paralisia |
| title | Brachial plexus surgery: the role of the surgical technique for improvement of the functional outcome |
| title_full | Brachial plexus surgery: the role of the surgical technique for improvement of the functional outcome |
| title_fullStr | Brachial plexus surgery: the role of the surgical technique for improvement of the functional outcome |
| title_full_unstemmed | Brachial plexus surgery: the role of the surgical technique for improvement of the functional outcome |
| title_short | Brachial plexus surgery: the role of the surgical technique for improvement of the functional outcome |
| title_sort | brachial plexus surgery the role of the surgical technique for improvement of the functional outcome |
| topic | cirurgia de plexo braquial enxertos nervosos transferência de nervos paralisia |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2011000500016&lng=en&tlng=en |
| work_keys_str_mv | AT leandroprettoflores brachialplexussurgerytheroleofthesurgicaltechniqueforimprovementofthefunctionaloutcome |