Does primary brachial plexus surgery alter palliative tendon transfer surgery outcomes in children with obstetric paralysis?

Aydin, Atakan; Bicer, Ahmet; Ozkan, Turker; Mersa, Berkan; Ozkan, Safiye; Yildirim, Zeynep

doi:10.1186/1471-2474-12-74

Does primary brachial plexus surgery alter palliative tendon transfer surgery outcomes in children with obstetric paralysis?

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Aydin A., Bicer A., Ozkan T., Mersa B., Ozkan S., Yildirim Z. H.

BMC MUSCULOSKELETAL DISORDERS, vol.12, 2011 (SCI-Expanded)

Publication Type: Article / Article
Volume: 12
Publication Date: 2011
Doi Number: 10.1186/1471-2474-12-74
Journal Name: BMC MUSCULOSKELETAL DISORDERS
Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
Istanbul University Affiliated: Yes

Abstract

Background: The surgical management of obstetrical brachial plexus palsy can generally be divided into two groups; early reconstructions in which the plexus or affected nerves are addressed and late or palliative reconstructions in which the residual deformities are addressed. Tendon transfers are the mainstay of palliative surgery. Occasionally, surgeons are required to utilise already denervated and subsequently reinnervated muscles as motors. This study aimed to compare the outcomes of tendon transfers for residual shoulder dysfunction in patients who had undergone early nerve surgery to the outcomes in patients who had not.