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Báo cáo y học: "Steindler flexorplasty to restore elbow flexion in C5-C6-C7 brachial plexus palsy type"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Wertheim cung cấp cho các bạn kiến thức về ngành y đề tài: Steindler flexorplasty to restore elbow flexion in C5-C6-C7 brachial plexus palsy type. | Journal of Brachial Plexus and Peripheral Nerve Injury BioMed Central Research article Open Access Steindler flexorplasty to restore elbow flexion in C5-C6-C7 brachial plexus palsy type Ricardo Monreal Address Manuel Fajardo Teaching Hospital. Orthopedics and Traumatology Department. Zapata y calle D Vedado CP 10400 Havana Cuba Email Ricardo Monreal - rjmg@infomed.sld.cu Corresponding author Published II July 2007 Received 25 April 2007 Journal of Brachial Plexus and Peripheral Nerve Injury 2007 2 15 doi 10.1186 1749-7221-2- Accepted 11 July 2007 I5 This article is available from http www.JBPPNI.eom content 2 1 15 2007 Monreal licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http creativecommons.org licenses by 2.0 which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Background Loss of elbow flexion due to traumatic palsy of the brachial plexus represents a major functional handicap. Then the first goal in the treatment of the flail arm is to restore the elbow flexion by primary direct nerve surgery or secondary reconstructive surgery. There are various methods to restore elbow flexion which are well documented in the medical literature but the most known and used is Steindler flexorplasty. This review is intended to detail the author s experience with Steindler flexorplasty to restore elbow flexion in patients with brachial plexus palsy C5-C6-C7 where wrist extensors are paralyzed or weakened. Methods We conducted a retrospective follow-up study of 12 patients with absent or extremely weak elbow flexion motor grade 2 or less wrist finger extensor and triceps palsy associated who had undergone surgical reconstruction of the flail upper limb by tendon transfer Steindler flexorplasty and wrist arthrodesis to restore elbow flexion. The aetiology of elbow weakness was in all patients brachial plexus palsy .