STUDY OF EPIDEMIOLOGY AND NERVE TRANSFER SURGERIES FOR ELBOW FLEXION IN UPPER BRACHIAL PLEXUS INJURIES-A FIVE YEAR REVIEW

Dr.N. Chandramouli Hariharan, Dr. M. Sugumar

Abstract


Introduction Traumatic brachial plexus palsy is one of the commonest disability among the survivors of road traffic accidents. Though nerve
transfers for elbow reanimation are unpredictable in in pan brachial plexus palsy, Oberlin’s procedure of transferring an intact ulnar nerve fascicle
revolutionize the scope for recovery of elbow flexion in upper brachial plexus injuries.
Materials and methods This is a retrospective study of patients with upper brachial plexus palsy who were operated for elbow neurotization in our
centre from January 2012 to December 2016. Out of the 42 patients who underwent the elbow neurotization procedures for upper brachial plexus
injury, only 24 patients responded to our call. Hence, epidemiological data are available for 42 patients but evaluation studies are possible in only 24
patients.
Results The age of the patients ranged from 15 years to 50 years. In 30 patients the right side was affected and in 12 patients the left side was
affected. 50% of the patients sustained associated head injury. Only in 8% of patients there was no associated injury. In Oberlin transfer 60% of
patients achieved a power of Gr IV. 20% obtained a power of Gr III.In 20% of patients no useful flexion could be achieved.
Conclusion In upper brachial plexus injuries Oberlin 1 transfer if done at the earliest possible time, offers the best hope for the recovery of elbow
flexion.


Keywords


Upper Brachial Plexus Palsy; Epidemiology Of Brachial Plexus Injury;o Berlin Transfer; Elbow Reanimation

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