- MeSH
- Humans MeSH
- Microsurgery * methods MeSH
- Nerve Transfer methods MeSH
- Infant, Newborn MeSH
- Neonatal Brachial Plexus Palsy * surgery MeSH
- Check Tag
- Humans MeSH
- Infant, Newborn MeSH
- Publication type
- Review MeSH
- MeSH
- Humans MeSH
- Spinal Cord Injuries drug therapy classification MeSH
- Brain Injuries drug therapy classification MeSH
- Peripheral Nerve Injuries classification therapy MeSH
- Check Tag
- Humans MeSH
- Publication type
- Review MeSH
BACKGROUND: The aim of this study was to evaluate the results achieved using various surgical techniques in patients with partial and total obstetrical brachial plexus palsy. METHODS: From 2000 to 2013, 33 patients with obstetrical brachial plexus injury underwent surgery. Twenty had follow-up periods greater than 24 months and met the criteria for inclusion in the study. All patients were evaluated using the Active Movement Scale. RESULTS: The outcomes of different nerve reconstructive procedures including nerve transfers, nerve grafting after neuroma resection and end-to-side neurorrhaphy are presented. The overall success rate in upper plexus birth injury was 80 % in shoulder abduction, 50 % in external rotation and 81.8 % in elbow flexion with median follow-ups of 36 months. Success rate in complete paralysis was 87 % in finger and thumb flexion, 87 % in shoulder abduction and 75 % in elbow flexion; the median follow-up was 46 months. Useful reanimation of the hand was obtained in both patients who underwent end-to-side neurotization. CONCLUSION: Improved function can be obtained in infants with obstetrical brachial plexus injury with early surgical reconstruction.
- MeSH
- Infant MeSH
- Humans MeSH
- Nerve Transfer methods MeSH
- Neurosurgical Procedures methods MeSH
- Brachial Plexus Neuropathies etiology surgery MeSH
- Brachial Plexus injuries MeSH
- Birth Injuries complications surgery MeSH
- Radiculopathy pathology surgery MeSH
- Treatment Outcome * MeSH
- Plastic Surgery Procedures methods MeSH
- Check Tag
- Infant MeSH
- Humans MeSH
- Male MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Research Support, Non-U.S. Gov't MeSH
- Keywords
- mykotické infekce, laboratorní postupy, diagnostika mykóz, interpretace výsledků,
- MeSH
- Algorithms MeSH
- Yeasts isolation & purification MeSH
- Humans MeSH
- Microscopy methods MeSH
- Mitosporic Fungi isolation & purification MeSH
- Mycological Typing Techniques methods instrumentation MeSH
- Mycoses diagnosis MeSH
- Reagent Kits, Diagnostic MeSH
- Check Tag
- Humans MeSH