Median Nerve to Musculocutaneous Nerve Transfer for Restoring Elbow Flexion in Obstetric Brachial Plexus palsy | ||
| SVU-International Journal of Medical Sciences | ||
| Article 24, Volume 7, Issue 2, July 2024, Pages 232-240 PDF (482 K) | ||
| Document Type: Original research articles | ||
| DOI: 10.21608/svuijm.2024.295799.1889 | ||
| Authors | ||
| Ahmed Abo Hashem Azab1; Samia Saied2; Esam Bahgat* 3; Mahmoud A. Hifny3 | ||
| 1Plastic Surgery Department, Faculty of Medicine , Zagazig University, Zagazig, Egypt. | ||
| 2Plastic Surgery Department, Faculty of Medicine, Sohag University, Sohag, Egypt. | ||
| 3Plastic Surgery Department, Faculty of Medicine, South Valley University, Qena, Egypt | ||
| Abstract | ||
| Background: Birth injuries to the brachial plexus are highly rare; however, they necessitate treatment and follow-up from infancy until skeletal maturity. Many complications may arise as a result of primary nerve surgery. Objectives: To study the long-term complications of nerve repair procedures in patients with obstetric brachial plexus palsy. Patients and methods: This was retrospective research that was performed on 8 cases having obstetric brachial plexus palsy and underwent nerve surgery procedure. The ages ranged from 3 to 20 months. The assessment of the surgical procedure outcomes involves post-operative evaluation of both short and long-term complication. Results: Our study showed that the most frequent long-term complications were decreased innervation (25%), followed by decreased strength and stamina and balanced discoordination (12.50%) while there were no complications encountered in 50% of cases. The short-term complications included wound infection, seroma and hematoma. Conclusion: The nerve surgery procedure is an efficient primary approach in the management of cases with brachial plexus injury. However, a long-term follow-up is usually associated with late squeal such as reduced innervation and decrease in the overall strength and stamina. | ||
| Keywords | ||
| ERB’s palsy; Nerve surgery; Obstetric Brachial Plexus Palsy (OBPP); Complications | ||
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